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General NPI Number Information
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NPI Number | 1730936741
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Entity Type | Organization
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Legal Business Name | MOBILEVAX STAFFING LLC
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Dates
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Enumeration Date | 05/06/2024
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 222 W ONTARIO ST STE 230
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City | CHICAGO
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State | IL
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Zip | 60654-3653
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Country | US
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Telephone | 773-733-0199
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Fax |
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Provider Business Mailing Address
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Address Line | 222 W ONTARIO ST STE 230
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City | CHICAGO
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State | IL
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Zip | 60654-3653
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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 | ISHMEET SINGH
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Credential |
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Telephone | 312-933-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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