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General NPI Number Information
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NPI Number | 1952575326
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Entity Type | Organization
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Legal Business Name | MPB TRANSPORTATION SERVICES INCORPORATION
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4831 SUMMERHILL DR
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-2011
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Country | US
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Telephone | 708-781-9133
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Fax | 708-575-5406
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Provider Business Mailing Address
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Address Line | 4831 SUMMERHILL DR
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-2011
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Country | US
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Telephone | 708-781-9133
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Fax | 708-575-5406
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Authorized Official
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Title or Position | CEO/OFFICE MANAGER
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Name | MS. MAURITA SMITH
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Credential |
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Telephone | 708-781-9133
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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 | 001
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License Number State | IL
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