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General NPI Number Information
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NPI Number | 1871095356
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Entity Type | Organization
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Legal Business Name | SUNNY POINT FIRE & RESCUE
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Dates
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Enumeration Date | 03/01/2018
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 6280 SUNNY POINT RD BLDG 44
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City | SOUTHPORT
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State | NC
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Zip | 28461
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Country | US
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Telephone | 910-457-8218
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Fax |
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Provider Business Mailing Address
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Address Line | 6280 SUNNY POINT RD BLDG 44
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City | SOUTHPORT
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State | NC
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Zip | 28461
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Country | US
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Telephone | 910-457-8218
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. MICHAEL SCOTT
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Credential | NREMT
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Telephone | 910-457-8218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 1500
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License Number State | NC
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