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General NPI Number Information
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NPI Number | 1306750112
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Entity Type | Organization
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Legal Business Name | EXPRESS DME LLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 115 E MAIN ST
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City | BRAIDWOOD
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State | IL
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Zip | 60408-1957
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Country | US
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Telephone | 888-446-4118
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Fax |
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Provider Business Mailing Address
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Address Line | 115 E MAIN ST
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City | BRAIDWOOD
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State | IL
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Zip | 60408-1957
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Country | US
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Telephone | 888-446-4118
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN KENEDDY
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Credential |
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Telephone | 888-940-1120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | NULL
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