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General NPI Number Information
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NPI Number | 1487245981
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Entity Type | Organization
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Legal Business Name | ALERT INTERNATIONAL RESCUE CORP
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Dates
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Enumeration Date | 01/28/2021
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 9906 RIVERSIDE PKWY
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City | TULSA
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State | OK
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Zip | 74137-7409
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Country | US
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Telephone | 918-771-0535
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Fax |
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Provider Business Mailing Address
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Address Line | 3920 MEDITERRANEAN ST
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City | ROCKWALL
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State | TX
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Zip | 75087-5335
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Country | US
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Telephone | 214-207-0546
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LADD CLAYTON ATKINS
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Credential | DO
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Telephone | 918-361-4284
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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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