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General NPI Number Information
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NPI Number | 1063563773
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Entity Type | Organization
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Legal Business Name | ALERT RENTAL, INC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 30636 DEQUINDRE RD
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City | WARREN
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State | MI
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Zip | 48092-4819
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Country | US
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Telephone | 586-574-0128
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Fax | 586-574-0132
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Provider Business Mailing Address
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Address Line | 4674 ERIN CT
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City | ANN ARBOR
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State | MI
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Zip | 48105-9790
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Country | US
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Telephone | 586-574-0128
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Fax | 586-574-0132
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. VADAKKAN JACOB
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Credential | R.R.T.
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Telephone | 586-574-0128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | MI
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