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General NPI Number Information
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NPI Number | 1831146471
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Entity Type | Organization
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Legal Business Name | COUNTY OF BRUNSWICK
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 3325 OLD OCEAN HWY
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City | BOLIVIA
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State | NC
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Zip | 28422-8919
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Country | US
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Telephone | 910-253-5383
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Fax | 910-253-4451
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | BOLIVIA
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State | NC
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Zip | 28422-0249
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Country | US
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Telephone | 910-253-5383
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Fax | 910-253-4451
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Authorized Official
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Title or Position | EMS DIVISION DIRECTOR
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Name | MR. HORACE C JOHNSTON
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Credential |
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Telephone | 910-253-2564
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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 | NC
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