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General NPI Number Information
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NPI Number | 1912086612
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Entity Type | Organization
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Legal Business Name | BERRIEN COUNTY COMMISSIONER OF ROADS & REVENUES
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 519 COUNTY FARM RD
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City | NASHVILLE
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State | GA
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Zip | 31639-3505
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Country | US
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Telephone | 229-686-5779
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 863
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City | LEWISVILLE
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State | NC
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Zip | 27023-0863
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Country | US
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Telephone | 229-686-5779
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Fax | 336-791-0196
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Authorized Official
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Title or Position | DIRECTOR
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Name | GERALD SUMNER
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Credential |
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Telephone | 229-646-0108
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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 | 010-01
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License Number State | GA
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Taxonomy #2
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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 |
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