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General NPI Number Information
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NPI Number | 1790821817
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Entity Type | Organization
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Legal Business Name | COUNTY OF WASHINGTON
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 958 US HIGHWAY 64 E
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City | PLYMOUTH
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State | NC
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Zip | 27962-9216
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Country | US
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Telephone | 252-793-3523
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Fax | 252-793-1183
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Provider Business Mailing Address
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Address Line | PO BOX 1007
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City | PLYMOUTH
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State | NC
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Zip | 27962-1007
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Country | US
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Telephone | 252-793-3523
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Fax | 252-793-7744
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. CATHERINE W DIXON
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Credential |
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Telephone | 252-793-3523
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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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