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General NPI Number Information
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NPI Number | 1750964615
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Entity Type | Organization
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Legal Business Name | AERY AVIATION, LLC
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 305 CHEROKEE DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4437
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Country | US
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Telephone | 757-593-6149
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Fax |
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Provider Business Mailing Address
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Address Line | 305 CHEROKEE DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-4437
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Country | US
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Telephone | 757-593-6149
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | MR. ROBERT DYNAN
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Credential |
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Telephone | 757-593-6149
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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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