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General NPI Number Information
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NPI Number | 1790760767
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Entity Type | Organization
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Legal Business Name | WARREN COUNTY TTEE
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 103 MAGNESS DR
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City | MCMINNVILLE
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State | TN
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Zip | 37110-1321
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Country | US
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Telephone | 931-473-6902
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Fax | 931-473-8473
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Provider Business Mailing Address
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Address Line | 103 MAGNESS DR
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City | MCMINNVILLE
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State | TN
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Zip | 37110-1321
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Country | US
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Telephone | 931-473-6902
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Fax | 931-473-8473
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Authorized Official
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Title or Position | BILLING CLERK
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Name | TERESA A LAWSON
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Credential |
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Telephone | 931-473-6902
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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 | EMS0000008901
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License Number State | TN
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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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