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General NPI Number Information
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NPI Number | 1497543227
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Entity Type | Organization
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Legal Business Name | PHOENIX AIR GROUP, INC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 100 PHOENIX AIR DR SW
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City | CARTERSVILLE
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State | GA
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Zip | 30120-6896
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Country | US
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Telephone | 770-387-2000
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Fax | 770-387-4545
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Provider Business Mailing Address
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Address Line | 100 PHOENIX AIR DR SW
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City | CARTERSVILLE
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State | GA
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Zip | 30120-6896
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Country | US
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Telephone | 770-387-2000
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Fax | 770-387-4545
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT & CHIEF OPERA
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Name | DENT M THOMPSON
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Credential |
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Telephone | 770-387-2000
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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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