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General NPI Number Information
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NPI Number | 1073054615
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Entity Type | Organization
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Legal Business Name | TRANSIT MOBILITY SOLUTIONS LLC
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 4426 N RACINE AVE 1S
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City | CHICAGO
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State | IL
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Zip | 60640-5638
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Country | US
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Telephone | 773-899-3485
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Fax |
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Provider Business Mailing Address
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Address Line | 4426 N RACINE AVE 1S
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City | CHICAGO
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State | IL
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Zip | 60640-5638
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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 | PRESIDENT
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Name | MR. MICHAEL A HERNANDEZ
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Credential |
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Telephone | 773-899-3485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | E506189
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License Number State | IL
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