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General NPI Number Information
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NPI Number | 1518130699
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Entity Type | Organization
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Legal Business Name | GUARDIAN FLIGHT INC
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 09/26/2018
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Provider Practice Location Address
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Address Line | 5880 OLD AIRPORT ROAD
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City | FAIRBANKS
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State | AK
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Zip | 99709-4470
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Country | US
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Telephone | 907-619-4900
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Fax | 801-619-8077
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Provider Business Mailing Address
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Address Line | 10888 S 300 W
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City | SOUTH JORDAN
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State | UT
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Zip | 84095-4043
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SVP OF REVENUE MANAGEMENT
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Name | MR. ERIC THOMAS
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Credential |
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Telephone | 877-288-5340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 6286
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License Number State | AK
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