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General NPI Number Information
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NPI Number | 1598773624
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Entity Type | Organization
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Legal Business Name | FALCON CRITICAL CARE TRANSPORT, LLC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 1220 CONCORD AVE STE 370
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City | CONCORD
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State | CA
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Zip | 94520-4906
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Country | US
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Telephone | 510-223-1171
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Fax | 510-223-1172
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Provider Business Mailing Address
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Address Line | 1220 CONCORD AVE STE 370
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City | CONCORD
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State | CA
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Zip | 94520-4906
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Country | US
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Telephone | 510-223-1171
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Fax | 510-223-1172
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Authorized Official
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Title or Position | CEO
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Name | TYLER COATS
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Credential |
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Telephone | 831-295-3005
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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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