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General NPI Number Information
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NPI Number | 1437380128
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Entity Type | Organization
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Legal Business Name | STAT AIR INTERNATIONAL, LLC.
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 501 W BROADWAY STE. 116-A
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City | SAN DIEGO
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State | CA
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Zip | 92101-3536
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Country | US
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Telephone | 619-754-6550
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Fax | 619-754-6153
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Provider Business Mailing Address
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Address Line | 501 W BROADWAY STE 116A
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City | SAN DIEGO
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State | CA
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Zip | 92101-3536
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Country | US
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Telephone | 800-557-5911
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Fax | 619-754-9998
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MYRON P GRIFFIN
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Credential | RT
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Telephone | 619-600-8021
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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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