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General NPI Number Information
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NPI Number | 1053855973
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Entity Type | Organization
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Legal Business Name | TC EQUIPMENT LLC
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 550 N CHICAGO ST
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City | JOLIET
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State | IL
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Zip | 60432-1747
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Country | US
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Telephone | 815-726-8294
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Fax | 815-726-3080
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Provider Business Mailing Address
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Address Line | 2100 CLEARWATER DR
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City | OAK BROOK
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State | IL
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Zip | 60523-1927
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. JOHN BUCHANAN
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Credential |
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Telephone | 815-726-8294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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