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General NPI Number Information
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NPI Number | 1356785539
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Entity Type | Organization
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Legal Business Name | VIKING AVIATION
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 6009 DALTON FARMER DR
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City | JONESBORO
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State | AR
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Zip | 72404-8895
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Country | US
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Telephone | 870-932-5836
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1654
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City | JONESBORO
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State | AR
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Zip | 72403-1654
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Country | US
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Telephone | 870-932-5836
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MARVIN BAIRD
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Credential |
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Telephone | 870-926-6278
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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 | 618
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License Number State | AR
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