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General NPI Number Information
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NPI Number | 1669281093
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Entity Type | Organization
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Legal Business Name | JUBER LLC
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 6677 N LINCOLN AVE STE 325
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-0001
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Country | US
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Telephone | 847-922-9823
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Fax |
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Provider Business Mailing Address
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Address Line | 6677 N LINCOLN AVE STE 325
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-0001
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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 | MANAGER
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Name | DAVID KANE
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Credential |
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Telephone | 847-922-9823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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License Number State |
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