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General NPI Number Information
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NPI Number | 1598050916
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Entity Type | Organization
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Legal Business Name | MED-AIR INC
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 390 KINGS HWY STE 103
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-3245
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Country | US
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Telephone | 540-899-9065
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Fax | 540-899-9069
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Provider Business Mailing Address
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Address Line | PO BOX 220
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City | TAPPAHANNOCK
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State | VA
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Zip | 22560-0220
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Country | US
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Telephone | 804-445-8525
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Fax | 804-445-8528
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SEAN P MAGILL
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Credential |
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Telephone | 804-445-8525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | VA
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