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General NPI Number Information
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NPI Number | 1801082383
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Entity Type | Organization
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Legal Business Name | COUNTY OF DEKALB OFFICE OF COUNTY JUDGE
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 248 MEADOWBROOK DR
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City | SMITHVILLE
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State | TN
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Zip | 37166-3109
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Country | US
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Telephone | 615-597-6768
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Fax | 615-597-8109
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Provider Business Mailing Address
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Address Line | 248 MEADOWBROOK DR
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City | SMITHVILLE
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State | TN
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Zip | 37166-3109
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Country | US
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Telephone | 615-597-6768
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Fax | 615-597-8109
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Authorized Official
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Title or Position | DIRECTOR
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Name | HOYTE E HALE
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Credential |
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Telephone | 615-597-6768
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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 | 10043
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License Number State | TN
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