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General NPI Number Information
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NPI Number | 1174772685
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Entity Type | Organization
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Legal Business Name | AIR AMBULANCE FORUM, INC.
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 3815 E MAIN ST SUITE C
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City | ST CHARLES
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State | IL
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Zip | 60174-2488
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Country | US
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Telephone | 630-444-2100
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Fax | 630-823-2900
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Provider Business Mailing Address
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Address Line | 3815 E MAIN ST SUITE C
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City | ST CHARLES
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State | IL
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Zip | 60174-2488
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Country | US
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Telephone | 630-444-2100
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Fax | 630-823-2900
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. COLE BACHELDER
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Credential |
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Telephone | 630-444-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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