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NPI 1649292749

NPI 1649292749 : OPEN AIRWAYS, INC : NORFOLK, VA

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General NPI Number Information
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    NPI Number           |    1649292749
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    Entity Type          |    Organization 
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    Legal Business Name  |    OPEN AIRWAYS, INC 
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Dates
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    Enumeration Date     |    07/25/2006
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    Last Update Date     |    12/10/2009
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Provider Practice Location Address
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    Address Line         |    1035 WEST 25TH STREET SUITE F-1
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23517
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    Country              |    US
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    Telephone            |    757-673-3769
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    Fax                  |    866-242-5540
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Provider Business Mailing Address
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    Address Line         |    1035 WEST 25TH STREET SUITE F1
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23517
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    Country              |    US
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    Telephone            |    757-673-3769
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    Fax                  |    866-242-5540
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Authorized Official
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    Title or Position    |    PRES./CEO
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    Name                 |    MRS. CONTRENIA MARLEASE SHULTERBRANDT 
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    Credential           |    
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    Telephone            |    757-673-3769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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