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General NPI Number Information
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NPI Number | 1790976561
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Entity Type | Organization
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Legal Business Name | PRECISION FUNDING OF ARKANSAS INC. DBA JET-MED
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 2226 COTTONDALE LN
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City | LITTLE ROCK
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State | AR
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Zip | 72202-2059
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Country | US
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Telephone | 501-671-2719
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Fax |
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Provider Business Mailing Address
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Address Line | 2226 COTTONDALE LN
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City | LITTLE ROCK
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State | AR
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Zip | 72202-2059
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Country | US
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Telephone | 501-671-2719
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. RICK EDWARDS
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Credential |
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Telephone | 501-258-4599
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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 | 398
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License Number State | AR
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