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General NPI Number Information
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NPI Number | 1366616153
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Entity Type | Organization
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Legal Business Name | AG MEDICAL TRANSPORATION INC
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1935 SHERMER RD SUITE # 180
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City | NORTHBROOK
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State | IL
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Zip | 60062-5384
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Country | US
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Telephone | 847-480-2330
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Fax |
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Provider Business Mailing Address
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Address Line | 1935 SHERMER RD SUITE # 180
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City | NORTHBROOK
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State | IL
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Zip | 60062-5384
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Country | US
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Telephone | 847-480-2330
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. AKSHAY B PATEL
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Credential |
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Telephone | 847-480-2330
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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 | 6006202
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License Number State | IL
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