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General NPI Number Information
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NPI Number | 1639721954
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Entity Type | Organization
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Legal Business Name | TOWN OF ORANGE PARK
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 2025 SMITH ST
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City | ORANGE PARK
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State | FL
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Zip | 32073-5579
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Country | US
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Telephone | 904-264-3411
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 161993
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32716-1993
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Country | US
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Telephone | 904-264-3411
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Fax |
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Authorized Official
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Title or Position | INTERIM FIRE CHIEF
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Name | JOHN M CONTESTABILE
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Credential |
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Telephone | 904-278-2083
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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 |
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License Number State |
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