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General NPI Number Information
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NPI Number | 1215518196
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Entity Type | Organization
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Legal Business Name | BANNER AIR LLC
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 2901 N CENTRAL AVE STE 160
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City | PHOENIX
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State | AZ
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Zip | 85012-2702
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Country | US
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Telephone | 602-229-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 N CENTRAL AVE STE 160
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City | PHOENIX
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State | AZ
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Zip | 85012-2702
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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 | COO
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Name | RICHARD SWEDBERGH
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Credential |
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Telephone | 520-205-1286
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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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