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General NPI Number Information
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NPI Number | 1659814978
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Entity Type | Organization
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Legal Business Name | MERCY AIR SERVICE, INC.
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 700 TERMINAL CIR
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City | LIVERMORE
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State | CA
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Zip | 94551-9617
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Country | US
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Telephone | 888-636-4438
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84621
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City | SEATTLE
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State | WA
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Zip | 98124-5921
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Country | US
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Telephone | 888-636-4438
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Fax |
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Authorized Official
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Title or Position | SENIOR DIRECTOR
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Name | MATTHEW D SMITH
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Credential |
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Telephone | 888-636-4438
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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 | CA
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