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General NPI Number Information
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NPI Number | 1588215628
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Entity Type | Organization
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Legal Business Name | SURVIVAL FLIGHT EMS LLC
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Dates
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Enumeration Date | 09/20/2019
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2122 NORTH BROADWAY
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-5004
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Country | US
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Telephone | 501-887-7500
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Fax | 870-569-8097
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Provider Business Mailing Address
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Address Line | 50 N MCCLINTOCK DR STE 1
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City | CHANDLER
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State | AZ
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Zip | 85226-3765
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Country | US
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Telephone | 480-275-4900
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | LORI SAMPLES
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Credential |
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Telephone | 480-621-5795
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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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