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General NPI Number Information
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NPI Number | 1174542377
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Entity Type | Organization
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Legal Business Name | CITY OF EVANSTON
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 909 LAKE ST
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City | EVANSTON
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State | IL
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Zip | 60201-4318
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Country | US
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Telephone | 847-328-2100
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Fax | 847-328-7311
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Provider Business Mailing Address
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Address Line | PO BOX 4157
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City | CAROL STREAM
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State | IL
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Zip | 60122-0001
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Country | US
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Telephone | 847-328-2100
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Fax | 847-328-7311
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MICHAEL WHALEN
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Credential |
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Telephone | 847-328-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 8184
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License Number State | IL
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