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General NPI Number Information
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NPI Number | 1053826511
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Entity Type | Organization
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Legal Business Name | MARKIT MEDICAL, INC.
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 100 S STATE ST
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City | CHICAGO
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State | IL
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Zip | 60603-5504
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Country | US
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Telephone | 800-580-9220
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Fax |
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Provider Business Mailing Address
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Address Line | 222 MERCHANDISE MART PLZ STE 1230
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City | CHICAGO
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State | IL
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Zip | 60654-4342
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Country | US
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Telephone | 801-678-1915
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LANCE LARSEN
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Credential |
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Telephone | 801-678-1915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | IL
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