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General NPI Number Information
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NPI Number | 1578899084
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Entity Type | Organization
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Legal Business Name | MILLENNIUM AIR XPRESS
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Dates
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Enumeration Date | 10/19/2009
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 17141 RAYEN ST
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City | NORTHRIDGE
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State | CA
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Zip | 91325-2908
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Country | US
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Telephone | 818-786-2001
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Fax | 818-349-3166
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Provider Business Mailing Address
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Address Line | 17141 RAYEN ST
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City | NORTHRIDGE
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State | CA
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Zip | 91325-2908
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Country | US
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Telephone | 818-786-2001
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Fax | 818-349-3166
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHARON GILMOUR
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Credential |
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Telephone | 818-786-2001
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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 | 0000082642-0001-7
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License Number State | CA
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