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General NPI Number Information
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NPI Number | 1861391971
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Entity Type | Organization
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Legal Business Name | AERION MEDICAL LLC
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 1021 E LINCOLNWAY STE 10059
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City | CHEYENNE
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State | WY
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Zip | 82001-4851
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Country | US
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Telephone | 307-316-1129
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Fax | 888-239-8869
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Provider Business Mailing Address
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Address Line | 1021 E LINCOLNWAY STE 10059
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City | CHEYENNE
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State | WY
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Zip | 82001-4851
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Country | US
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Telephone | 307-316-1129
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Fax | 888-239-8869
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SHIRLEI SOUSA MARTINS
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Credential |
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Telephone | 307-316-1129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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