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General NPI Number Information
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NPI Number | 1548498314
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Entity Type | Organization
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Legal Business Name | AIR ESCORT, INC.
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 6150 STATE ROAD 70 E
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City | BRADENTON
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State | FL
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Zip | 34203-9707
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Country | US
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Telephone | 877-400-0463
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Fax | 800-890-9851
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Provider Business Mailing Address
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Address Line | 6150 STATE ROAD 70 E
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City | BRADENTON
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State | FL
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Zip | 34203-9707
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Country | US
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Telephone | 877-400-0463
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Fax | 800-890-9851
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH KEVIN GONZALES
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Credential | EMT-PARAMEDIC
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Telephone | 919-412-4652
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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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