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General NPI Number Information
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NPI Number | 1578652590
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Entity Type | Organization
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Legal Business Name | TALBOT COUNTY COMMISSIONER OF ROADS & REVENUES
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 06/21/2013
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Provider Practice Location Address
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Address Line | 1853 GENEVA HWY
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City | TALBOTTON
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State | GA
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Zip | 31827-8542
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Country | US
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Telephone | 706-665-3456
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 155
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City | TALBOTTON
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State | GA
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Zip | 31827-0115
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Country | US
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Telephone | 706-665-3456
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Fax | 706-665-2317
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BETTY WIMBERLY
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Credential |
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Telephone | 706-665-3220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 130-04
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License Number State | GA
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