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General NPI Number Information
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NPI Number | 1285416560
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Entity Type | Organization
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Legal Business Name | LIFE CARE EMS LLC
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 4248 BELLE AIRE LN STE 3
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1914
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Country | US
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Telephone | 630-291-9772
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Fax |
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Provider Business Mailing Address
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Address Line | 4248 BELLE AIRE LN STE 3
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1914
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Country | US
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Telephone | 630-291-9772
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. ARTHUR F FLOWERS JR.
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Credential |
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Telephone | 630-291-9772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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