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General NPI Number Information
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NPI Number | 1639285414
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Entity Type | Organization
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Legal Business Name | ATS MEDICAL SERVICES, LLC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 1752 WINDSOR LAKE PARKWAY SUITE 108
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City | LOVES PARK
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State | IL
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Zip | 61111-4276
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Country | US
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Telephone | 317-542-1111
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Fax | 707-703-4619
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Provider Business Mailing Address
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Address Line | PO BOX 771803
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City | CHICAGO
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State | IL
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Zip | 60677-1803
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Country | US
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Telephone | 815-963-6885
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Fax | 815-639-9521
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Authorized Official
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Title or Position | CHIEF ADMIN OFFICER/CHIEF COMP
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Name | KATHLEEN LOYA
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Credential |
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Telephone | 707-992-1263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 12521
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License Number State | IL
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