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NPI 1356021778

NPI 1356021778 : TAKE FLIGHT ASSOCIATES INC : PEMBROKE, NC

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General NPI Number Information
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    NPI Number           |    1356021778
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    Entity Type          |    Organization 
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    Legal Business Name  |    TAKE FLIGHT ASSOCIATES INC 
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Dates
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    Enumeration Date     |    07/20/2023
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    Last Update Date     |    07/20/2023
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Provider Practice Location Address
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    Address Line         |    202 MAIN ST 
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    City                 |    PEMBROKE
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    State                |    NC
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    Zip                  |    28372-5040
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    Country              |    US
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    Telephone            |    910-491-9848
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2053 
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    City                 |    GARNER
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    State                |    NC
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    Zip                  |    27529-2053
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    Country              |    US
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    Telephone            |    910-491-9848
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     KAREN  MCDANIEL 
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    Credential           |    
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    Telephone            |    910-491-9848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    171W00000X
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    Taxonomy Name        |    Contractor
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    License Number       |    
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    License Number State |    
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