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General NPI Number Information
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NPI Number | 1003016080
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Entity Type | Organization
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Legal Business Name | AERIUS MEDICAL, LLC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 7400 W 130TH ST SUITE 150
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2656
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Country | US
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Telephone | 913-529-2515
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Fax | 913-529-2520
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Provider Business Mailing Address
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Address Line | 7400 W 130TH ST SUITE 150
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City | OVERLAND PARK
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State | KS
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Zip | 66213-2656
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Country | US
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Telephone | 913-529-2515
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Fax | 913-529-2520
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD P KRAMM
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Credential | RPH
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Telephone | 913-529-2515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5-02246
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License Number State | KS
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