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General NPI Number Information
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NPI Number | 1023820743
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Entity Type | Organization
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Legal Business Name | ADL MEDICAL LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 408 OFFICE PARK DR STE 3
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City | BRYANT
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State | AR
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Zip | 72022-7536
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Country | US
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Telephone | 501-553-0000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 570
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City | LAKE FOREST
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State | IL
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Zip | 60045-0570
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Country | US
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Telephone | 888-987-1489
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Fax | 224-255-5813
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Authorized Official
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Title or Position | PRESIDENT
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Name | AARON LEDDY
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Credential | CRNA
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Telephone | 817-938-3919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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