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General NPI Number Information
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NPI Number | 1891731444
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Entity Type | Organization
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Legal Business Name | JEFFERSON COUNTY EMERGENCY MEDICAL SERV.
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 911 INDUSTRIAL PARK RD
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City | DANDRIDGE
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State | TN
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Zip | 37725-4701
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Country | US
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Telephone | 865-397-7228
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Fax | 865-397-4687
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Provider Business Mailing Address
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Address Line | 931 INDUSTRIAL PARK RD PO BOX 1206
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City | DANDRIDGE
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State | TN
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Zip | 37725-4701
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Country | US
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Telephone | 865-397-7228
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Fax | 865-397-4687
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JOESPH B. PHILLIPS JR.
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Credential |
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Telephone | 865-397-7228
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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 | EMS0000004501
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License Number State | TN
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