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General NPI Number Information
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NPI Number | 1043435159
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Entity Type | Organization
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Legal Business Name | E R AMBULANCE INC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 7427 S ASHLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60636-4053
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Country | US
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Telephone | 773-723-1575
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Fax | 773-723-3459
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Provider Business Mailing Address
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Address Line | 7427 S ASHLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60636-4053
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Country | US
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Telephone | 773-723-1575
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Fax | 773-723-3459
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ERICA NICHOLE FRANKLIN
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Credential |
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Telephone | 773-447-7398
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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 | 1769641
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License Number State | IL
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