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General NPI Number Information
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NPI Number | 1720316615
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Entity Type | Organization
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Legal Business Name | DAVIDSON COUNTY RESCUE SQUAD INC
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 115 W 9TH AVE
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City | LEXINGTON
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State | NC
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Zip | 27292-3111
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Country | US
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Telephone | 336-249-9337
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Fax |
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Provider Business Mailing Address
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Address Line | 115 W 9TH AVE P.O. BOX 122
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City | LEXINGTON
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State | NC
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Zip | 27292-3111
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Country | US
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Telephone | 336-249-9337
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Fax |
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Authorized Official
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Title or Position | TREASURER
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Name | MR. MAURICE KILGORE HODGES JR.
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Credential | EMT
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Telephone | 336-249-0465
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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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