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General NPI Number Information
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NPI Number | 1659557999
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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 | 01/17/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 1601 N MARGINAL RD BURKE LAKE FRONT AIRPORT
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City | CLEVELAND
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State | OH
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Zip | 44114-3739
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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 | 24174 NETWORK PLACE
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City | CHICAGO
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State | IL
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Zip | 60673-0001
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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 | CFO
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Name | MS. ANNA M GOSS
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Credential |
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Telephone | 281-899-4806
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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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