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General NPI Number Information
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NPI Number | 1821054610
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Entity Type | Organization
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Legal Business Name | MSE AIR GROUP INC
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 05/16/2012
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Provider Practice Location Address
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Address Line | HANGAR-AVIANE LOT D AT NORTH SIDE ISLA GRANDE AIRPORT
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City | SAN JUAN
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State | PR
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Zip | 00907
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Country | US
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Telephone | 787-907-1585
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Fax | 787-907-1588
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Provider Business Mailing Address
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Address Line | PO BOX 1717
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City | CIALES
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State | PR
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Zip | 00638-1717
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Country | US
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Telephone | 787-871-0207
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Fax | 787-871-4707
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JUAN M CARRO
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Credential |
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Telephone | 787-871-0207
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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 | S0420TCAMBA03
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | TCAMB-(A)-03
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License Number State | PR
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