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General NPI Number Information
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NPI Number | 1407472061
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Entity Type | Organization
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Legal Business Name | GUARDIAN FLIGHT LLC
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Dates
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Enumeration Date | 06/19/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 245 CALLE BUENA
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City | ALAMOSA
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State | CO
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Zip | 81101-2257
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Country | US
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Telephone | 888-807-9189
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 199
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City | WEST PLAINS
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State | MO
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Zip | 65775-0199
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SVP OF REVENUE MANAGEMENT
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Name | ERIC THOMAS
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Credential |
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Telephone | 877-288-5340
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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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