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General NPI Number Information
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NPI Number | 1215319728
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Entity Type | Organization
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Legal Business Name | SENTINEL MED
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Dates
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Enumeration Date | 06/20/2015
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Last Update Date | 06/20/2015
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Provider Practice Location Address
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Address Line | 7804 ACCOTINK PL # 400
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City | ALEXANDRIA
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State | VA
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Zip | 22308-1226
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Country | US
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Telephone | 866-276-5165
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Fax |
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Provider Business Mailing Address
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Address Line | 7804 ACCOTINK PL # 400
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City | ALEXANDRIA
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State | VA
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Zip | 22308-1226
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JAMES EVANS
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Credential |
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Telephone | 202-251-6189
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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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