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General NPI Number Information
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NPI Number | 1851382790
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Entity Type | Organization
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Legal Business Name | SEMINOLE COUNTY BOARD OF HEALTH
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 10/23/2017
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Provider Practice Location Address
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Address Line | 904 N WILEY AVE
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City | DONALSONVILLE
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State | GA
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Zip | 39845-1127
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Country | US
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Telephone | 229-524-2577
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Fax | 229-524-8986
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Provider Business Mailing Address
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Address Line | 904 N WILEY AVE
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City | DONALSONVILLE
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State | GA
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Zip | 39845-1127
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Country | US
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Telephone | 229-524-2577
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Fax | 229-524-8986
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Authorized Official
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Title or Position | DISTRICT HEALTH DIRECTOR
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Name | CHARLES D RUIS
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Credential | MD
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Telephone | 229-352-4275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | GA
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