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General NPI Number Information
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NPI Number | 1578540050
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Entity Type | Organization
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Legal Business Name | AIR TREK, INC.
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 28000-A5 AIRPORT RD
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City | PUNTA GORDA
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State | FL
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Zip | 33982-2409
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Country | US
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Telephone | 941-639-7855
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Fax | 941-639-0878
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Provider Business Mailing Address
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Address Line | 28000-A5 AIRPORT RD
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City | PUNTA GORDA
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State | FL
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Zip | 33982-2409
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Country | US
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Telephone | 941-639-7855
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Fax | 941-639-0878
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DANA W. CARR
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Credential |
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Telephone | 941-639-7855
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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 | 000407
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License Number State | FL
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