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General NPI Number Information
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NPI Number | 1801895230
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Entity Type | Organization
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Legal Business Name | COUNTY OF PERQUIMANS
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 159 CREEK DR
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City | HERTFORD
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State | NC
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Zip | 27944-9402
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Country | US
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Telephone | 910-694-3145
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Fax | 843-766-4994
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Provider Business Mailing Address
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Address Line | PO BOX 563
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City | HERTFORD
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State | NC
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Zip | 27944-0563
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Country | US
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Telephone | 252-426-5646
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Fax | 252-426-3306
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Authorized Official
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Title or Position | EMS DIRECTER
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Name | MR. JONATHAN A NIXON
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Credential | EMT EMERGENCY SER.
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Telephone | 252-426-5646
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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 | 341600000X
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License Number State | NC
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