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General NPI Number Information
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NPI Number | 1932258506
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Entity Type | Organization
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Legal Business Name | GASTON COUNTY
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 615 N HIGHLAND ST
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City | GASTONIA
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State | NC
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Zip | 28052-2179
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Country | US
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Telephone | 704-866-3271
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Fax | 704-866-3203
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Provider Business Mailing Address
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Address Line | PO BOX 1475
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City | GASTONIA
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State | NC
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Zip | 28053-1475
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Country | US
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Telephone | 704-866-3202
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Fax | 704-866-3203
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MARK LAMPHIEAR
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Credential |
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Telephone | 704-866-3202
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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 | 0360683
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License Number State | NC
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