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General NPI Number Information
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NPI Number | 1992734867
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Entity Type | Organization
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Legal Business Name | HALL COUNTY GEORGIA
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 470 CRESCENT DR
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City | GAINESVILLE
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State | GA
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Zip | 30501-5079
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Country | US
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Telephone | 770-531-6835
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Fax | 770-531-6845
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Provider Business Mailing Address
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Address Line | PO BOX 931136
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City | ATLANTA
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State | GA
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Zip | 31193-1136
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Country | US
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Telephone | 770-531-6838
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Fax | 770-531-6845
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Authorized Official
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Title or Position | DIVISION CHIEF OF EMS
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Name | CHRISTIE GRICE
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Credential |
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Telephone | 770-531-6838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341800000X
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Taxonomy Name | Military/U.S. Coast Guard Transport,
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License Number | 06907
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 06907
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License Number State | GA
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