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General NPI Number Information
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NPI Number | 1144416538
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Entity Type | Organization
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Legal Business Name | AREA MEDI VAN INC
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 480 PARK STREET
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City | LIVINGSTON
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State | IL
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Zip | 62058
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Country | US
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Telephone | 618-637-6535
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Fax | 618-637-2004
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Provider Business Mailing Address
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Address Line | PO BOX 295
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City | LIVINGSTON
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State | IL
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Zip | 62058-0295
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Country | US
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Telephone | 618-637-6535
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Fax | 618-637-2004
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Authorized Official
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Title or Position | PRESIDENT
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Name | BLISS M PFEIFER
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Credential |
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Telephone | 618-637-6535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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