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General NPI Number Information
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NPI Number | 1093272999
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Entity Type | Organization
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Legal Business Name | LIFENET, INC.
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Dates
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Enumeration Date | 02/27/2019
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 430 N AIRPORT RD
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City | MURPHYSBORO
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State | IL
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Zip | 62966-6002
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Country | US
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Telephone | 800-636-4438
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 713383
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City | CINCINNATI
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State | OH
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Zip | 45271-3383
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Country | US
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Telephone | 800-636-4438
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | CHRISTOPHER J BRADY
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Credential |
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Telephone | 800-636-4438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number |
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License Number State |
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