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General NPI Number Information
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NPI Number | 1710090014
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Entity Type | Organization
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Legal Business Name | BOTETOURT COUNTY BOARD OF SUPERVISORS
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 05/25/2010
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Provider Practice Location Address
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Address Line | 205 N ROANOKE ST SUITE 1
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City | FINCASTLE
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State | VA
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Zip | 24090-3018
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Country | US
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Telephone | 540-473-8401
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Fax |
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Provider Business Mailing Address
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Address Line | 4750 HEMPSTEAD STATION DR
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City | KETTERING
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State | OH
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Zip | 45429-5164
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Country | US
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Telephone | 800-875-0136
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Fax |
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Authorized Official
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Title or Position | EMERGENCY SERVICES SPECIALIST
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Name | DAVID FIRESTONE
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Credential |
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Telephone | 540-473-8401
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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 | 1128
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License Number State | VA
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