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General NPI Number Information
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NPI Number | 1871893347
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Entity Type | Organization
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Legal Business Name | ERAHEALTH, LLC DBA VETERAN'S HEALTH
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 40 E DELAWARE PL STE 1702
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City | CHICAGO
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State | IL
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Zip | 60611-1439
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Country | US
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Telephone | 312-953-4178
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Fax | 312-337-4263
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Provider Business Mailing Address
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Address Line | 40 E DELAWARE PL STE 1702
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City | CHICAGO
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State | IL
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Zip | 60611-1429
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Country | US
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Telephone | 312-953-4178
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Fax | 312-337-4263
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. EDGAR RATCLIFFE ANDERSON JR.
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Credential | MD
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Telephone | 312-953-4178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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