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General NPI Number Information
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NPI Number | 1801884275
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Entity Type | Organization
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Legal Business Name | CITY OF BRISTOL
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 211 BLUFF CITY HWY
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City | BRISTOL
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State | TN
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Zip | 37620-4214
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Country | US
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Telephone | 423-989-5701
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Fax | 423-989-5701
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Provider Business Mailing Address
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Address Line | PO BOX 1000, DEPT #15
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 888-466-7964
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Fax | 614-987-1989
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Authorized Official
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Title or Position | CITY MANAGER
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Name | KELLI BOURGEOIS
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Credential |
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Telephone | 423-989-5503
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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 | EMS0000010023
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License Number State | TN
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