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General NPI Number Information
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NPI Number | 1962409912
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Entity Type | Organization
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Legal Business Name | CITY OF HOLLYWOOD
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Dates
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Enumeration Date | 07/06/2005
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 2741 STIRLING RD
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City | HOLLYWOOD
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State | FL
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Zip | 33312-6505
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Country | US
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Telephone | 954-967-4248
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Fax | 954-967-4253
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Provider Business Mailing Address
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Address Line | PO BOX 947121
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City | ATLANTA
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State | GA
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Zip | 30394-7121
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Country | US
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Telephone | 954-967-4248
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Fax | 954-967-4253
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Authorized Official
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Title or Position | TRAINING & EMS ASSISTANT DIVISION C
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Name | SIMON SERRAO
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Credential |
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Telephone | 954-921-3451
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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 |
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License Number State |
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