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General NPI Number Information
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NPI Number | 1972146157
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Entity Type | Organization
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Legal Business Name | CITY OF TROY
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 200 S GEO WALLACE DR
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City | TROY
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State | AL
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Zip | 36081-4606
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Country | US
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Telephone | 334-566-5943
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Fax | 334-239-4512
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Provider Business Mailing Address
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Address Line | PO BOX 549
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City | TROY
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State | AL
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Zip | 36081-0549
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Country | US
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Telephone | 334-566-5943
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Fax | 334-239-4512
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Authorized Official
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Title or Position | DEPUTY CHIEF
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Name | CURTISS GRANT SHAVER
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Credential | PARAMEDIC
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Telephone | 334-566-5943
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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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