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General NPI Number Information
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NPI Number | 1578934212
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Entity Type | Organization
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Legal Business Name | AIRLINK USA LC
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 925 B ST STE 102
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City | SAN DIEGO
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State | CA
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Zip | 92101-4628
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Country | US
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Telephone | 619-342-7408
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Fax | 619-342-7410
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Provider Business Mailing Address
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Address Line | 925 B ST STE 102
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City | SAN DIEGO
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State | CA
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Zip | 92101-4628
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Country | US
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Telephone | 619-342-7408
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Fax | 619-342-7410
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. PAUL GREGORY BERNER
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Credential |
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Telephone | 858-245-9762
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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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