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General NPI Number Information
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NPI Number | 1942441241
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Entity Type | Organization
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Legal Business Name | ELITE AMBULANCE SERVICE INC
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 03/16/2009
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Provider Practice Location Address
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Address Line | 22083 MARY DR
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City | FRANKFORT
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State | IL
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Zip | 60423-8073
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Country | US
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Telephone | 815-464-3021
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Fax | 815-464-3021
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Provider Business Mailing Address
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Address Line | 22083 MARY DR
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City | FRANKFORT
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State | IL
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Zip | 60423-8073
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Country | US
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Telephone | 815-464-3021
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Fax | 815-464-3021
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHRISTI I VOGRIG
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Credential |
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Telephone | 815-464-3021
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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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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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