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General NPI Number Information
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NPI Number | 1790728319
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Entity Type | Organization
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Legal Business Name | COUNTY OF DAVIE
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 114 DOCTOR SLATE DRIVE
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City | MOCKSVILLE
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State | NC
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Zip | 27028-0935
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Country | US
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Telephone | 336-751-0879
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Fax | 336-751-5914
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Provider Business Mailing Address
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Address Line | 114 DOCTOR SLATE DRIVE
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City | MOCKSVILLE
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State | NC
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Zip | 27028-0935
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Country | US
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Telephone | 336-751-0879
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Fax | 336-751-5914
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. JOSEPH ASHBURN
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Credential |
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Telephone | 336-705-1820
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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 | NC
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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 | 1077
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License Number State | NC
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