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General NPI Number Information
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NPI Number | 1295675841
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Entity Type | Individual
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Provider Name | RICARDO PRONSCHINSKE EMT-B
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Gender | Male
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 1310 MAIN ST
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City | MELROSE PARK
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State | IL
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Zip | 60160-4098
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Country | US
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Telephone | 815-926-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 MAIN ST
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City | MELROSE PARK
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State | IL
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Zip | 60160-4098
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 060909751
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License Number State | IL
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