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General NPI Number Information
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NPI Number | 1962646760
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Entity Type | Organization
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Legal Business Name | MARCELS TRANSPORTATION CO
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 12037 S PRINCETON AVE
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City | CHICAGO
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State | IL
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Zip | 60628-6513
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Country | US
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Telephone | 708-768-4233
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Fax | 773-253-9614
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Provider Business Mailing Address
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Address Line | 12037 S PRINCETON AVE
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City | CHICAGO
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State | IL
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Zip | 60628-6513
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Country | US
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Telephone | 708-768-4233
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Fax | 773-253-9614
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Authorized Official
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Title or Position | TRANSPORTATION
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Name | MR. MARCEL M HARTWELL
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Credential |
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Telephone | 708-768-4233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number | H634-5537-3070
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License Number State | IL
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