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General NPI Number Information
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NPI Number | 1720827611
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Entity Type | Organization
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Legal Business Name | AIRA TECH CORP
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 3208 AVENIDA LACIMA
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City | CARLSBAD
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State | CA
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Zip | 92009
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Country | US
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Telephone | 225-573-5160
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Fax |
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Provider Business Mailing Address
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Address Line | 3451 VIA MONTEBELLO STE 192
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City | CARLSBAD
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State | CA
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Zip | 92009-8492
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Country | US
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Telephone | 225-573-5160
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Fax |
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Authorized Official
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Title or Position | VP OF BUSINESS DEVELOPMENT
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Name | JILL M RATLIFF
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Credential |
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Telephone | 513-377-1706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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