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NPI 1902827256

NPI 1902827256 : CITY OF CASSELBERRY : CASSELBERRY, FL

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General NPI Number Information
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    NPI Number           |    1902827256
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF CASSELBERRY 
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Dates
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    Enumeration Date     |    07/22/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    95 TRIPLET LAKE DR 
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    City                 |    CASSELBERRY
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    State                |    FL
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    Zip                  |    32707-3252
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    Country              |    US
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    Telephone            |    407-262-7700
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    Fax                  |    407-262-7762
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Provider Business Mailing Address
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    Address Line         |    95 TRIPLET LAKE DR 
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    City                 |    CASSELBERRY
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    State                |    FL
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    Zip                  |    32707-3252
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    Country              |    US
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    Telephone            |    407-262-7700
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    Fax                  |    407-262-7762
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Authorized Official
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    Title or Position    |    DIRECTOR OF FINANCE
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    Name                 |    MR. JEFFREY S DREIER 
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    Credential           |    
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    Telephone            |    407-262-7700
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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       |    2758
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    License Number State |    FL
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