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General NPI Number Information
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NPI Number | 1497638274
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Entity Type | Individual
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Provider Name | MRS. MELISSA E JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 6144 1/2 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60659-2320
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Country | US
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Telephone | 224-647-1713
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Fax | 773-465-5507
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Provider Business Mailing Address
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Address Line | 3001 W GRANVILLE AVE
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City | CHICAGO
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State | IL
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Zip | 60659-2420
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Country | US
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Telephone | 773-606-4460
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Fax | 773-465-5507
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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Taxonomy #2
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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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