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General NPI Number Information
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NPI Number | 1982656369
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Entity Type | Organization
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Legal Business Name | CITY OF BURBANK
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 6530 W 79TH ST
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City | BURBANK
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State | IL
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Zip | 60459-1189
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Country | US
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Telephone | 708-599-7766
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Fax | 708-599-9764
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Provider Business Mailing Address
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Address Line | PO BOX 6253
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City | CAROL STREAM
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State | IL
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Zip | 60197-6253
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Country | US
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Telephone | 708-599-7766
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Fax | 708-599-9764
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. DAVID E GILGENBERG
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Credential |
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Telephone | 708-599-7766
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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 | 8156
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 078156
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 078156
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License Number State | IL
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