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General NPI Number Information
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NPI Number | 1376729582
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Entity Type | Organization
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Legal Business Name | MED JETS NOW LLC
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 5605 PORTAGE RD
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City | PORTAGE
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State | MI
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Zip | 49002-1721
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Country | US
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Telephone | 941-258-5073
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Fax |
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Provider Business Mailing Address
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Address Line | 5605 PORTAGE RD
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City | PORTAGE
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State | MI
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Zip | 49002-1721
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Country | US
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Telephone | 941-258-5073
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MICHEAL PEAT
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Credential |
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Telephone | 941-258-5073
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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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