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General NPI Number Information
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NPI Number | 1619965274
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Entity Type | Organization
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Legal Business Name | COUNTY OF RANDOLPH
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 760 NEW CENTURY DR
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City | ASHEBORO
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State | NC
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Zip | 27205-7371
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Country | US
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Telephone | 336-318-6911
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Fax | 336-636-7503
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Provider Business Mailing Address
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Address Line | 760 NEW CENTURY DR
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City | ASHEBORO
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State | NC
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Zip | 27205-7371
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Country | US
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Telephone | 336-318-6911
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Fax | 336-636-7503
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Authorized Official
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Title or Position | EMERGENCY SERVICES DIRECTOR
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Name | DONOVAN LANE DAVIS
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Credential |
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Telephone | 336-318-6943
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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 | 0760578
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License Number State | NC
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