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General NPI Number Information
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NPI Number | 1457509515
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Entity Type | Organization
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Legal Business Name | ADVANCED AEROMEDICAL
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 3429 CHANDLER CREEK RD SUITE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-2978
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Country | US
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Telephone | 757-481-1590
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Fax | 757-481-2874
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Provider Business Mailing Address
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Address Line | 3429 CHANDLER CREEK RD SUITE 102
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City | VIRGINIA BEACH
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State | VA
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Zip | 23453-2978
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Country | US
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Telephone | 757-481-1590
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Fax | 757-481-2874
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EBEN SCRIBNER IV
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Credential |
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Telephone | 757-481-1590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 0206009312
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License Number State | VA
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