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General NPI Number Information
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NPI Number | 1689928129
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Entity Type | Organization
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Legal Business Name | GOOCHLAND COUNTY BOARD OF SUPERVISORS
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 2938 RIVER RD W
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City | GOOCHLAND
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State | VA
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Zip | 23063-3229
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Country | US
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Telephone | 804-556-5304
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 715724
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City | PHILADELPHIA
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State | PA
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Zip | 19171-5724
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Country | US
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Telephone | 804-556-5304
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Fax | 804-556-2623
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Authorized Official
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Title or Position | FIRE-RESCUE CHIEF
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Name | DILLARD E FERGUSON JR.
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Credential |
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Telephone | 804-556-5304
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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 | 597
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License Number State | VA
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