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General NPI Number Information
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NPI Number | 1609064567
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Entity Type | Organization
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Legal Business Name | GLADES COUNTY BOARD OF COUNTY COMMISSIONERS - EMS
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 500 AVENUE J
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City | MOORE HAVEN
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State | FL
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Zip | 33471
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Country | US
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Telephone | 863-946-6020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 481
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City | MOORE HAVEN
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State | FL
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Zip | 33471-0481
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Country | US
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Telephone | 863-946-6020
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Fax | 863-946-1091
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Authorized Official
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Title or Position | CHAIRMAN OF GCBOCC
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Name | MR. KS 'BUTCH' JONES
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Credential |
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Telephone | 863-946-6020
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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 | 2776
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License Number State | FL
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