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General NPI Number Information
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NPI Number | 1851343537
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Entity Type | Organization
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Legal Business Name | MEDICAL EXPRESS AMBULANCE SERVICE, INC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 5650 HOWARD ST
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City | SKOKIE
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State | IL
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Zip | 60077-2623
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Country | US
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Telephone | 847-673-6333
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Fax | 847-673-4520
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Provider Business Mailing Address
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Address Line | 5650 HOWARD ST
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City | SKOKIE
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State | IL
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Zip | 60077-2623
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Country | US
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Telephone | 847-673-6333
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Fax | 847-673-4520
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MS. LAUREN RUBINSON
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Credential |
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Telephone | 847-673-6333
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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 | 11 8955
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License Number State | IL
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