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General NPI Number Information
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NPI Number | 1578918215
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Entity Type | Organization
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Legal Business Name | BSM EMERGENCY GROUP INC
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/12/2016
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Provider Practice Location Address
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Address Line | 1410 S MUSEUM CAMPUS DR
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City | CHICAGO
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State | IL
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Zip | 60605-2902
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Country | US
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Telephone | 847-815-7547
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Fax |
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Provider Business Mailing Address
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Address Line | 8022 SIERRA WOODS LN
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City | CARPENTERSVILLE
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State | IL
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Zip | 60110-3385
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MATTHEW SCHIPPER
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Credential |
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Telephone | 847-815-7547
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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 |
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License Number State |
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