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General NPI Number Information
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NPI Number | 1609905280
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Entity Type | Organization
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Legal Business Name | AEROMED 911 LLC
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 210 BLUFF KNLS
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City | SAN ANTONIO
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State | TX
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Zip | 78216-1915
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Country | US
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Telephone | 210-488-2868
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Fax | 210-545-1271
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Provider Business Mailing Address
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Address Line | 210 BLUFF KNLS
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City | SAN ANTONIO
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State | TX
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Zip | 78216-1915
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Country | US
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Telephone | 210-488-2868
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Fax | 210-545-1271
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Authorized Official
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Title or Position | CEO
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Name | CAROLINE FIONA KHARAS
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Credential |
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Telephone | 210-488-2868
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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 | TX
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