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General NPI Number Information
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NPI Number | 1942406475
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Entity Type | Organization
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Legal Business Name | COUNTY OF LAFAYETTE OFFICE CLERK BOARD COUNTY COMMISSIONERS
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Dates
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Enumeration Date | 06/22/2007
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 136 S.E. INDUSTRIAL AVENUE
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City | MAYO
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State | FL
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Zip | 32066
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Country | US
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Telephone | 386-294-1633
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Fax | 386-294-4242
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Provider Business Mailing Address
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Address Line | PO BOX 88
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City | MAYO
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State | FL
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Zip | 32066-0088
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Country | US
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Telephone | 386-294-1633
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Fax | 386-294-4242
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | OSCAR MARTIN TOMPKINS
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Credential | PMD
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Telephone | 386-294-1633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 2655
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 2915
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 2978
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License Number State | FL
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