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General NPI Number Information
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NPI Number | 1801785589
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Entity Type | Organization
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Legal Business Name | FLIGHT FOR LIFE INC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 2661 AVIATION RD
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City | WAUKESHA
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State | WI
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Zip | 53188-6903
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Country | US
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Telephone | 414-778-5427
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Fax |
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Provider Business Mailing Address
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Address Line | 2661 AVIATION RD
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City | WAUKESHA
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State | WI
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Zip | 53188-6903
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Country | US
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Telephone | 414-778-5427
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LEIF ERICKSON
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Credential |
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Telephone | 414-778-5425
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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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