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General NPI Number Information
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NPI Number | 1699455824
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Entity Type | Organization
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Legal Business Name | FIRST CLASS RENTAL SERVICE
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Dates
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Enumeration Date | 07/21/2023
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 20909 TORRENCE AVE
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City | LYNWOOD
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State | IL
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Zip | 60411-8725
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Country | US
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Telephone | 708-677-8833
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Fax | 708-851-1485
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Provider Business Mailing Address
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Address Line | 20909 TORRENCE AVE
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City | LYNWOOD
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State | IL
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Zip | 60411-8725
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Country | US
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Telephone | 708-677-8833
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Fax | 708-851-1485
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Authorized Official
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Title or Position | MANAGER
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Name | RICHARD A. ADELEYE
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Credential | MANAGER
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Telephone | 708-677-8833
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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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