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General NPI Number Information
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NPI Number | 1679568943
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Entity Type | Organization
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Legal Business Name | BOARD OF COUNTY COMMISSIONERS GULF COUNTY
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 1000 CECIL G COSTIN SR BLVD
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City | PORT ST JOE
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State | FL
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Zip | 32456-1653
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Country | US
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Telephone | 850-229-6112
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Fax | 850-229-6174
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Provider Business Mailing Address
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Address Line | PO BOX 910
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City | CONWAY
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State | AR
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Zip | 72033-0910
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Country | US
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Telephone | 850-229-8002
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Fax | 850-227-3862
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Authorized Official
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Title or Position | CLERK OF COURT
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Name | REBECCA L NORRIS
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Credential |
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Telephone | 850-229-6112
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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 | 002429
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License Number State | FL
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Taxonomy #2
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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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