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General NPI Number Information
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NPI Number | 1851047245
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Entity Type | Organization
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Legal Business Name | TRIPLE TTT LLC
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 3116 W DEVON AVE APT 202
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City | CHICAGO
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State | IL
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Zip | 60659-1496
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Country | US
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Telephone | 773-407-9065
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Fax |
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Provider Business Mailing Address
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Address Line | 3550 W PETERSON AVE STE 300
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City | CHICAGO
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State | IL
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Zip | 60659-3214
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Country | US
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Telephone | 773-407-9065
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Fax |
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Authorized Official
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Title or Position | RCM
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Name | MUJIDAT ADEBAYO
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Credential |
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Telephone | 773-440-1972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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