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General NPI Number Information
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NPI Number | 1114063203
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Entity Type | Organization
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Legal Business Name | STANFORD LIFE FLIGHT
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 300 PASTEUR DR
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City | STANFORD
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State | CA
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Zip | 94305-2200
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Country | US
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Telephone | 650-723-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 300 PASTEUR DR
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City | STANFORD
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State | CA
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Zip | 94305-2200
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Country | US
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Telephone | 650-723-4000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. MARTHA MARSH
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Credential |
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Telephone | 650-723-8542
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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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