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General NPI Number Information
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NPI Number | 1437276318
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Entity Type | Organization
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Legal Business Name | TREMONT 702 RESCUE SQUAD
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 400 E PEARL ST
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City | TREMONT
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State | IL
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Zip | 61568-8581
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Country | US
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Telephone | 309-925-5380
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 111
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City | TREMONT
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State | IL
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Zip | 61568-0111
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Country | US
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Telephone | 309-925-5380
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Fax |
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Authorized Official
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Title or Position | CHIEF/MANAGER
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Name | TRENT J STEINER
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Credential |
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Telephone | 309-232-6878
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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 | 22594
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License Number State | IL
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