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General NPI Number Information
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NPI Number | 1558748855
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Entity Type | Organization
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Legal Business Name | ANGEL FLIGHTS, LLC
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 10294 SHADY OAK LANE
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City | SEMINOLE
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State | FL
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Zip | 33777
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Country | US
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Telephone | 727-528-8496
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Fax |
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Provider Business Mailing Address
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Address Line | 10294 SHADY OAK LANE
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City | SEMINOLE
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State | FL
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Zip | 33777
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Country | US
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Telephone | 727-528-8496
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Fax |
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Authorized Official
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Title or Position | MGR.
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Name | ALEC WALLACE
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Credential |
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Telephone | 727-954-8170
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #3
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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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