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General NPI Number Information
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NPI Number | 1124523386
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Entity Type | Organization
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Legal Business Name | TAKE FLIGHT SERVICES LLC
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 202 MAIN STREET
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City | PEMBROKE
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State | NC
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Zip | 28372
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Country | US
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Telephone | 919-798-0967
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2053
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City | GARNER
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State | NC
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Zip | 27529-2053
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Country | US
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Telephone | 919-491-9848
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Fax |
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Authorized Official
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Title or Position | BUSINESS OPERATIONS MANAGER
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Name | KAREN MCDANIEL
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Credential |
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Telephone | 910-491-9848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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