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General NPI Number Information
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NPI Number | 1316220999
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Entity Type | Organization
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Legal Business Name | ASSISTED TRAVEL
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 1351 CHANNAHON RD
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City | ROCKDALE
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State | IL
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Zip | 60436-9530
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Country | US
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Telephone | 888-872-6776
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Fax | 815-478-3458
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Provider Business Mailing Address
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Address Line | 24449 ARROWHEAD DR
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City | MANHATTAN
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State | IL
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Zip | 60442-1452
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Country | US
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Telephone | 888-872-6776
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Fax | 815-478-3458
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MR. JAMES ACKLEY
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Credential |
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Telephone | 708-362-8001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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