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General NPI Number Information
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NPI Number | 1740515634
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Entity Type | Organization
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Legal Business Name | MEDFLIGHT911 AIR AMBULANCE SERVICE LLC
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 16772 W BELL RD SUITE 110-274
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City | SURPRISE
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State | AZ
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Zip | 85374-9702
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Country | US
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Telephone | 888-359-1911
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Fax | 888-571-3735
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Provider Business Mailing Address
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Address Line | 16772 W BELL RD SUITE 110-274
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City | SURPRISE
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State | AZ
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Zip | 85374-9702
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Country | US
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Telephone | 888-359-1911
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Fax | 888-571-3735
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. WILLIAM D MCCLUSKEY
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Credential |
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Telephone | 888-359-1911
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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 |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3416S0300X
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Taxonomy Name | Water Ambulance
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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