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General NPI Number Information
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NPI Number | 1700885548
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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 | 07/14/2005
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 13000 LAS VEGAS BLVD S
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City | HENDERSON
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State | NV
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Zip | 89044
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Country | US
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Telephone | 800-499-9495
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Fax | 909-890-9895
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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 | 800-499-9495
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Fax | 909-890-9895
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Authorized Official
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Title or Position | CAO
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Name | SHARON J KECK
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Credential |
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Telephone | 800-499-9495
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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 | 202950
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License Number State | CA
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Taxonomy #2
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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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