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General NPI Number Information
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NPI Number | 1790970481
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Entity Type | Organization
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Legal Business Name | LIFEFLIGHT EAGLE
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 500 NW RICHARDS RD
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City | KANSAS CITY
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State | MO
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Zip | 64116-4235
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Country | US
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Telephone | 816-283-9710
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NW RICHARDS RD
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City | KANSAS CITY
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State | MO
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Zip | 64116-4235
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Country | US
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Telephone | 816-283-9710
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHRISTINE ZALAR
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Credential |
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Telephone | 816-283-9716
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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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