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General NPI Number Information
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NPI Number | 1942943469
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Entity Type | Organization
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Legal Business Name | SUMTER COUNTY BOARD OF COUNTY COMMISSIONERS
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 7375 POWELL RD
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City | WILDWOOD
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State | FL
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Zip | 34785-4203
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Country | US
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Telephone | 352-689-4400
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Fax | 352-689-4401
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Provider Business Mailing Address
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Address Line | 7375 POWELL RD
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City | WILDWOOD
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State | FL
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Zip | 34785-4203
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Country | US
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Telephone | 352-689-4400
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Fax | 352-689-4401
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Authorized Official
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Title or Position | BUDGET TECHNICIAN SUPERVISOR
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Name | BOBBIE JO TODD
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Credential |
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Telephone | 352-689-4400
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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 |
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License Number State |
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