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General NPI Number Information
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NPI Number | 1417708264
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Entity Type | Organization
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Legal Business Name | MERCY AIR SERVICE, INC.
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Dates
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Enumeration Date | 03/29/2024
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Last Update Date | 03/29/2024
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Provider Practice Location Address
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Address Line | 3753 JOHN J MONTGOMERY DR HNGR 1
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City | SAN DIEGO
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State | CA
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Zip | 92123-1712
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Country | US
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Telephone | 858-278-2672
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84621
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City | SEATTLE
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State | WA
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Zip | 98124-5921
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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 | SECRETARY
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Name | CHRISTOPHER JOHN BRADY
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Credential |
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Telephone | 888-636-4438
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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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