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Rebecca Waddell
Private Vehicle in Decatur, Illinois
NPI 1487961215

Rebecca Waddell is a Private Vehicle based in Decatur, IL. Rebecca Waddell practices in Decatur, IL. The NPI Number for Rebecca Waddell is 1487961215 and holds a License No. W340-7217-9782 (Illinois).

The current practice location address for Rebecca Waddell is 120 Benton Dr, Decatur, IL and can be reached out via phone at 217-433-1461. You can also correspond with Rebecca Waddell through the mailing address at 120 BENTON DR, DECATUR, IL - 62526-1408 (mailing address contact number: 217-433-1461).

Location: 120 Benton Dr, Decatur, IL, 62526-1408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487961215
Provider Name
Rebecca Waddell
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 Benton Dr, Decatur, IL, 62526-1408
Phone Number
217-433-1461
Fax Number
Provider Enumeration Date
08/31/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
198747636 05 IL
institution
Provider Business Practice Location Address Details
Address
120 Benton Dr
City
Decatur
State
Illinois
Zip
62526-1408
Phone Number
217-433-1461
Fax Number
person
Provider Business Mailing Address Details
Address
120 Benton Dr
City
Decatur
State
Illinois
Zip
62526-1408
Phone Number
217-433-1461
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
W340-7217-9782 (Illinois)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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