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General NPI Number Information
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NPI Number | 1639260094
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Entity Type | Organization
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Legal Business Name | CITY OF SUFFOLK
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 10/10/2012
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Provider Practice Location Address
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Address Line | 300 KINGS FORK RD
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City | SUFFOLK
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State | VA
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Zip | 23434-7148
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Country | US
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Telephone | 757-923-2390
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1858
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City | SUFFOLK
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State | VA
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Zip | 23439-1858
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Country | US
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Telephone | 757-923-4778
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Fax |
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Authorized Official
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Title or Position | DEPUTY CHIEF
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Name | BRIAN SPICER
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Credential |
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Telephone | 757-923-4778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 741
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License Number State | VA
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