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General NPI Number Information
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NPI Number | 1285625434
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Entity Type | Organization
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Legal Business Name | A.L.S. AEROCARE, INC.
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 14815 41ST AVE N
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City | PLYMOUTH
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State | MN
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Zip | 55446-2754
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Country | US
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Telephone | 612-539-2222
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Fax | 763-572-2194
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Provider Business Mailing Address
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Address Line | 14815 41ST AVE N
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City | PLYMOUTH
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State | MN
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Zip | 55446-2754
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Country | US
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Telephone | 612-539-2222
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Fax | 763-572-2194
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Authorized Official
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Title or Position | CEO
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Name | MRS. MARY HELEN BRUNNER
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Credential | RN,BSN,CFN
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Telephone | 612-539-2222
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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 | 1688
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License Number State | MN
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