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General NPI Number Information
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NPI Number | 1801919949
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Entity Type | Organization
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Legal Business Name | AIR SITKA
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 485 KATLIAN ST
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City | SITKA
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State | AK
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Zip | 99835-7506
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Country | US
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Telephone | 907-747-7920
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Fax | 907-747-6090
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Provider Business Mailing Address
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Address Line | 485 KATLIAN ST
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City | SITKA
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State | AK
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Zip | 99835-7506
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Country | US
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Telephone | 907-747-7920
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Fax | 907-747-6090
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KENNETH ALAN BELLOWS
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Credential |
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Telephone | 907-747-7920
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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 | 301160
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License Number State | AK
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