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General NPI Number Information
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NPI Number | 1598748394
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Entity Type | Organization
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Legal Business Name | AIR EVAC EMS, INC.
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Dates
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Enumeration Date | 11/25/2005
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 712 W MAPLE AVE
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City | SPRINGDALE
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State | AR
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Zip | 72764
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Country | US
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Telephone | 479-419-4904
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Fax | 417-257-5761
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Provider Business Mailing Address
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Address Line | PO BOX 106
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City | WEST PLAINS
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State | MO
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Zip | 65775-0106
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Country | US
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Telephone | 877-288-5340
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Fax | 417-257-5761
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Authorized Official
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Title or Position | SRVP OF REVENUE MANAGEMENT
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Name | ERIC THOMAS
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Credential |
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Telephone | 888-807-9189
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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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