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General NPI Number Information
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NPI Number | 1225346992
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Entity Type | Organization
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Legal Business Name | MERCY JETS WORLDWIDE AIR AMBULANCE, LLC.
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 14256 N NORTHSIGHT BLVD SUITE 120
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3953
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Country | US
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Telephone | 602-314-8070
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Fax |
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Provider Business Mailing Address
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Address Line | 3039 W PEORIA AVE C102-118
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City | PHOENIX
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State | AZ
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Zip | 85029-5212
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Country | US
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Telephone | 602-314-8070
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN DAVID BOHN
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Credential |
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Telephone | 602-314-8070
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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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