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General NPI Number Information
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NPI Number | 1942253091
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Entity Type | Organization
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Legal Business Name | VILLAGE OF MT PROSPECT
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 50 S EMERSON ST
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-3218
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Country | US
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Telephone | 847-392-6000
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Fax | 847-818-5336
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Provider Business Mailing Address
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Address Line | PO BOX 457
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City | WHEELING
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State | IL
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Zip | 60090
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Country | US
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Telephone | 847-392-6000
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Fax | 847-818-5336
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | MR. DAVID O. ERB
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Credential |
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Telephone | 847-392-6000
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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 | 8189
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License Number State | IL
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