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General NPI Number Information
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NPI Number | 1124427299
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE MEDICAR INC.
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 1713 CUMBERLAND RD
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City | AURORA
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State | IL
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Zip | 60504-6027
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Country | US
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Telephone | 630-781-6595
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Fax | 630-299-3770
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Provider Business Mailing Address
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Address Line | 1713 CUMBERLAND RD
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City | AURORA
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State | IL
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Zip | 60504-6027
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Country | US
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Telephone | 630-781-6595
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Fax | 630-299-3770
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Authorized Official
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Title or Position | OWNER
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Name | SOUAD GABR
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Credential |
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Telephone | 630-781-6595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | G16078162903
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License Number State | IL
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