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General NPI Number Information
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NPI Number | 1235086398
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Entity Type | Organization
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Legal Business Name | SOPORTE AEREO Y TERRESTRE SAAT S.A.
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | PROVINCIA 01 SAN JOSE, CANTON 08 GOICOECHEA
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City | SAN JOSE
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State | SAN JOSE
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Zip | 00000
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Country | CR
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11661
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City | FORT LAUDERDALE
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State | FL
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Zip | 33339-1661
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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 | MGR
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Name | FRANCIS DURMAN
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Credential |
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Telephone | 858-522-9932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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