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General NPI Number Information
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NPI Number | 1376596148
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Entity Type | Organization
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Legal Business Name | CITY OF HIGHWOOD
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 12/29/2011
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Provider Practice Location Address
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Address Line | 428 GREEN BAY RD
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City | HIGHWOOD
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State | IL
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Zip | 60040-1306
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Country | US
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Telephone | 847-432-7622
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Fax | 847-432-7521
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Provider Business Mailing Address
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Address Line | 395 W LAKE ST
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City | ELMHURST
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State | IL
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Zip | 60126-1508
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Country | US
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Telephone | 630-903-1280
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Fax | 630-903-2830
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. THOMAS LOVEJOY
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Credential |
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Telephone | 847-432-7622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 107917
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License Number State | IL
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