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General NPI Number Information
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NPI Number | 1750739074
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Entity Type | Organization
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Legal Business Name | CHARITY AIR AMBULANCE
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 20603 S 187TH WAY
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-3568
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Country | US
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Telephone | 480-917-7610
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Fax |
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Provider Business Mailing Address
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Address Line | 20603 S 187TH WAY
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-3568
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROJECT MANAGER
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Name | MRS. GENEVIEVE ANN BALTYN
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Credential |
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Telephone | 480-917-7610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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