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General NPI Number Information
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NPI Number | 1730915976
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Entity Type | Organization
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Legal Business Name | BG GENERAL & CUSTOM SERVICES,INC.
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 3343 STONEWAY CT
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City | CHAMPAIGN
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State | IL
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Zip | 61822-2404
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Country | US
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Telephone | 217-766-0695
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Fax |
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Provider Business Mailing Address
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Address Line | 3343 STONEWAY CT
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City | CHAMPAIGN
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State | IL
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Zip | 61822-2404
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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 | OWNER
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Name | BENIGNO GARCIA
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Credential |
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Telephone | 217-766-0695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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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 | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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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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