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General NPI Number Information
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NPI Number | 1184277576
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Entity Type | Organization
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Legal Business Name | FLYING NURSES INTERNATIONAL LLC
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 250 PALM COAST PKWY NE STE 607-265
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City | PALM COAST
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State | FL
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Zip | 32137-8224
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Country | US
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Telephone | 877-521-1333
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Fax | 904-621-9924
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Provider Business Mailing Address
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Address Line | 250 PALM COAST PKWY NE STE 607-265
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City | PALM COAST
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State | FL
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Zip | 32137-8224
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Country | US
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Telephone | 877-521-1333
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Fax | 904-621-9924
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DAVID MICHAEL BROEDERDORF
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Credential |
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Telephone | 877-521-1333
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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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