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General NPI Number Information
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NPI Number | 1427791185
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Entity Type | Organization
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Legal Business Name | OPTIMUM A.I.R. LLC
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Dates
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Enumeration Date | 04/19/2022
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 3001 DUGGLEBY DR
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City | CODY
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State | WY
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Zip | 82414-9368
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Country | US
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Telephone | 702-302-4569
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Fax |
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Provider Business Mailing Address
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Address Line | 5010 S DECATUR BLVD STE H
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City | LAS VEGAS
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State | NV
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Zip | 89118-4935
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Country | US
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Telephone | 702-302-4569
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Fax | 702-435-7693
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Authorized Official
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Title or Position | CFO
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Name | MICHELE WARD
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Credential |
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Telephone | 617-429-2337
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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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