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General NPI Number Information
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NPI Number | 1972226769
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Entity Type | Organization
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Legal Business Name | ULTIMATE CHOICE TRANSPORTATION LLC
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 55 E MONROE ST STE 3800
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City | CHICAGO
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State | IL
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Zip | 60603-6030
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Country | US
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Telephone | 877-785-8462
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Fax |
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Provider Business Mailing Address
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Address Line | 2304 HOLIDAY TER APT 207
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City | LANSING
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State | IL
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Zip | 60438-1649
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Country | US
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Telephone | 708-441-5626
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOMINIQUE CATRON
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Credential |
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Telephone | 708-441-5626
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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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