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General NPI Number Information
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NPI Number | 1730544354
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Entity Type | Organization
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Legal Business Name | STERDYS INC
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Dates
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Enumeration Date | 12/25/2015
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Last Update Date | 12/25/2015
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Provider Practice Location Address
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Address Line | 9204 S COMMERCIAL AVE 307
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City | CHICAGO
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State | IL
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Zip | 60617-2197
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Country | US
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Telephone | 872-666-5030
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Fax | 708-679-9009
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Provider Business Mailing Address
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Address Line | 9204 S COMMERCIAL AVE 307
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City | CHICAGO
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State | IL
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Zip | 60617-2197
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Country | US
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Telephone | 872-666-5030
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Fax | 708-679-9009
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARBETTE SCOTT
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Credential |
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Telephone | 847-436-8394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | G342518
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 297S956
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License Number State | IL
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