{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "MEDICAL EXPRESS AMBULANCE SERVICE, INC",
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"NamePrefix": null,
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"FirstLineMailingAddress": "5650 HOWARD ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SKOKIE",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60077-2623",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-673-6333",
"MailingAddressFaxNumber": "847-673-4520",
"FirstLinePracticeLocationAddress": "5650 HOWARD ST",
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"PracticeLocationAddressCityName": "SKOKIE",
"PracticeLocationAddressStateName": "IL",
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"PracticeLocationAddressTelephoneNumber": "847-673-6333",
"PracticeLocationAddressFaxNumber": "847-673-4520",
"EnumerationDate": "05/17/2006",
"LastUpdateDate": "09/10/2013",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RUBINSON",
"AuthorizedOfficialFirstName": "LAUREN",
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"AuthorizedOfficialTitle": "PRESIDENT & CEO",
"AuthorizedOfficialNamePrefix": "MS.",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "847-673-6333",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "11 8955",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}