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NPI 1235525106

NPI 1235525106 : AIRDOC INTERNATIONAL INC : DELRAY BEACH, FL

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General NPI Number Information
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    NPI Number           |    1235525106
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    Entity Type          |    Organization 
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    Legal Business Name  |    AIRDOC INTERNATIONAL INC 
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Dates
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    Enumeration Date     |    04/08/2015
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    Last Update Date     |    04/08/2015
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Provider Practice Location Address
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    Address Line         |    118 COCONUT KEY LN 
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    City                 |    DELRAY BEACH
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    State                |    FL
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    Zip                  |    33484-8831
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    Country              |    US
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    Telephone            |    561-601-5173
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    118 COCONUT KEY LN 
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    City                 |    DELRAY BEACH
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    State                |    FL
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    Zip                  |    33484-8831
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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    |    PRESIDENT
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    Name                 |    MR. STEVEN GRANT SPANDE 
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    Credential           |    
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    Telephone            |    561-601-5173
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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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