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General NPI Number Information
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NPI Number | 1003639816
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Entity Type | Organization
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Legal Business Name | 1ST STEP MEDICAL TRANSPORTATIONS CO
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 2529 CEDAR GLEN DR N
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City | LYNWOOD
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State | IL
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Zip | 60411-1512
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Country | US
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Telephone | 312-678-4371
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Fax |
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Provider Business Mailing Address
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Address Line | 2529 CEDAR GLEN DR N
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City | LYNWOOD
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State | IL
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Zip | 60411-1512
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Country | US
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Telephone | 312-678-4371
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT/CEO
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Name | ADONIUS JOHNSON
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Credential |
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Telephone | 312-678-4371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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