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General NPI Number Information
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NPI Number | 1265568018
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Entity Type | Organization
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Legal Business Name | ERA MED, LLC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 110 STEWART HUSTON DR
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City | COATESVILLE
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State | PA
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Zip | 19320-1646
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Country | US
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Telephone | 610-644-4430
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30885
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City | BROOKLYN
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State | NY
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Zip | 11245-0001
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Country | US
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Telephone | 610-644-4430
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LARRY ADAMS
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Credential |
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Telephone | 610-883-4478
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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 | 07003
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License Number State | PA
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