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General NPI Number Information
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NPI Number | 1144685728
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Entity Type | Organization
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Legal Business Name | ISLAND AIR, INC.
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 72 AIRPORT CIRCLE DR
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250-7153
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Country | US
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Telephone | 360-378-2376
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55
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City | WATSONTOWN
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State | PA
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Zip | 17777-0055
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Country | US
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Telephone | 570-538-4488
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JACQUELINE M HAMILTON
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Credential |
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Telephone | 360-378-2376
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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 | AIR.ES.00000917
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License Number State | WA
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