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General NPI Number Information
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NPI Number | 1174664551
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Entity Type | Organization
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Legal Business Name | BYE AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 108 E HAWTHORNE
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City | ELMWOOD
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State | IL
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Zip | 61529-7977
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Country | US
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Telephone | 309-682-5280
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Fax | 309-682-5327
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Provider Business Mailing Address
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Address Line | PO BOX 33 108 E HAWTHORNE
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City | ELMWOOD
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State | IL
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Zip | 61529-7977
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Country | US
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Telephone | 309-682-5280
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Fax | 309-682-5327
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMUEL LEWIS SPRECHER
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Credential |
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Telephone | 309-358-1352
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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 | 000002569
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License Number State | IL
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