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General NPI Number Information
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NPI Number | 1790651610
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Entity Type | Organization
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Legal Business Name | 911 AVIATION LLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1400 W MAIN ST
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City | DURANT
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State | OK
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Zip | 74701-4906
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Country | US
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Telephone | 580-230-1412
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1203
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City | DURANT
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State | OK
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Zip | 74702-1203
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Country | US
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Telephone | 580-230-1412
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Fax |
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | MISTI DAWN MOSLEY
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Credential | CPA
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Telephone | 580-230-1412
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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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