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General NPI Number Information
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NPI Number | 1669028551
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Entity Type | Organization
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Legal Business Name | CITY OF MARTIN TENNESSEE
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 106 NEAL ST
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City | MARTIN
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State | TN
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Zip | 38237-2418
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Country | US
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Telephone | 731-587-4919
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Fax | 731-587-3152
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Provider Business Mailing Address
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Address Line | PO BOX 290
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City | MARTIN
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State | TN
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Zip | 38237-0290
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Country | US
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Telephone | 731-587-4919
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Fax | 731-587-3152
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | JAMIE SUMMERS
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Credential |
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Telephone | 731-587-4919
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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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