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General NPI Number Information
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NPI Number | 1639523749
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Entity Type | Organization
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Legal Business Name | DES PLAINES FIRE DEPARTMENT
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Dates
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Enumeration Date | 04/15/2016
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | 405 S RIVER RD
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City | DES PLAINES
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State | IL
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Zip | 60016-4730
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Country | US
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Telephone | 847-391-5350
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Fax |
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Provider Business Mailing Address
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Address Line | 405 S RIVER RD
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City | DES PLAINES
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State | IL
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Zip | 60016-4730
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Country | US
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Telephone | 847-391-5350
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | ALAN WAX
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Credential |
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Telephone | 847-391-5336
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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 | 09 8180
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License Number State | IL
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