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General NPI Number Information
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NPI Number | 1811659071
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Entity Type | Organization
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Legal Business Name | ECHO RESPONSE EMS LLC
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 02/29/2024
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Provider Practice Location Address
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Address Line | 510 FAIR AVE
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City | PANA
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State | IL
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Zip | 62557-1749
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Country | US
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Telephone | 217-297-0367
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Fax | 217-297-0368
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Provider Business Mailing Address
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Address Line | 510 FAIR AVE
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City | PANA
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State | IL
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Zip | 62557-1749
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Country | US
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Telephone | 217-297-0367
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Fax | 217-297-0368
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | MRS. KIERSTEN DAUTEL
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Credential |
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Telephone | 217-825-1477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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