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General NPI Number Information
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NPI Number | 1508813379
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Entity Type | Organization
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Legal Business Name | TRI STATE CARE FLIGHT, LLC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 5500 S QUEBEC ST
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1914
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Country | US
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Telephone | 303-792-7400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 398074
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City | SAN FRANCISCO
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State | CA
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Zip | 94139-8074
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Country | US
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Telephone | 800-711-4045
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Fax | 707-571-2362
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRYSTAL GORDON
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Credential |
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Telephone | 303-881-8921
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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 | A014
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License Number State | CO
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