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General NPI Number Information
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NPI Number | 1730904277
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Entity Type | Organization
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Legal Business Name | SHORELINE LOGISTICS
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 159 N SANGAMON ST STE 200
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City | CHICAGO
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State | IL
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Zip | 60607-2201
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Country | US
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Telephone | 331-321-7736
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Fax | 331-321-8766
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Provider Business Mailing Address
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Address Line | 159 N SANGAMON ST STE 200
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City | CHICAGO
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State | IL
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Zip | 60607-2201
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Country | US
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Telephone | 331-321-7736
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Fax | 331-321-8766
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Authorized Official
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Title or Position | CEO
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Name | JEROME SHORES
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Credential |
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Telephone | 331-321-7736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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