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General NPI Number Information
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NPI Number | 1396258406
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Entity Type | Organization
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Legal Business Name | VECTOR AEROMEDICAL, LLC
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Dates
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Enumeration Date | 11/10/2017
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Last Update Date | 11/10/2017
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Provider Practice Location Address
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Address Line | 1725 E INTERNATIONAL DR
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City | MORRISVILLE
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State | NC
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Zip | 27560-7690
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Country | US
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Telephone | 888-982-3766
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Fax | 888-982-3766
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Provider Business Mailing Address
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Address Line | 6120 SMITHWOOD RD
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City | LIBERTY
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State | NC
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Zip | 27298-9126
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Country | US
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Telephone | 877-982-3766
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Fax | 888-982-3766
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. ANDREW TYLER BAIRD
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Credential | EMT-P
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Telephone | 888-982-3766
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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 | 1887
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License Number State | NC
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