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General NPI Number Information
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NPI Number | 1275699530
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Entity Type | Organization
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Legal Business Name | GOLDEN STATE AIR CHARTER LLC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4705 NEW HORIZON BLVD SUITE 1
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City | BAKERSFIELD
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State | CA
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Zip | 93313-2369
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Country | US
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Telephone | 661-393-5300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55
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City | WATSONTOWN
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State | PA
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Zip | 17777-0055
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Country | US
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Telephone | 570-538-4488
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Fax | 570-538-1556
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Authorized Official
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Title or Position | MAMAGER
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Name | DON JUDKINS
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Credential |
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Telephone | 661-393-5300
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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 | AMB07012
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License Number State | CA
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