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General NPI Number Information
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NPI Number | 1649049677
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Entity Type | Organization
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Legal Business Name | UNIFIED GOVERNMENT OF CUSSETA-CHATTAHOOCHEE COUNTY GEORGIA
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 215 MCNAUGHTON ST
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City | CUSSETA
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State | GA
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Zip | 31805-3013
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Country | US
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Telephone | 706-587-0269
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Fax |
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Provider Business Mailing Address
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Address Line | 215 MCNAUGHTON ST
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City | CUSSETA
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State | GA
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Zip | 31805-3013
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Country | US
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Telephone | 706-587-0269
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Fax |
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Authorized Official
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Title or Position | DEPUTY FIRE CHIEF
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Name | MR. DAVID BUCHER
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Credential |
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Telephone | 706-587-0269
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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 |
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License Number State |
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