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General NPI Number Information
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NPI Number | 1205176765
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN HOLDINGS LLC
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Dates
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Enumeration Date | 02/20/2013
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 43 NEW SCOTLAND AVE
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City | ALBANY
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State | NY
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Zip | 12208
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Country | US
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Telephone | 909-915-2303
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Fax | 402-952-2411
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Provider Business Mailing Address
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Address Line | PO BOX 84621
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City | SEATTLE
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State | WA
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Zip | 98124-5921
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Country | US
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Telephone | 909-915-2303
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Fax | 402-952-2411
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MICHAEL DENNIS ALLEN
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Credential |
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Telephone | 909-915-2301
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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 | 0767
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License Number State | NY
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