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General NPI Number Information
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NPI Number | 1821311374
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Entity Type | Organization
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Legal Business Name | AIR CRITICAL CARE, LLC
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 08/05/2016
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Provider Practice Location Address
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Address Line | 25591 TECHNOLOGY BLVD UNIT A
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City | PUNTA GORDA
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State | FL
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Zip | 33950-4701
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Country | US
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Telephone | 941-639-9119
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Fax | 941-761-5838
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Provider Business Mailing Address
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Address Line | 25591 TECHNOLOGY BLVD UNIT A
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City | PUNTA GORDA
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State | FL
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Zip | 33950-4701
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Country | US
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Telephone | 941-639-9119
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Fax | 941-761-5838
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Authorized Official
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Title or Position | MANAGER
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Name | MR. MICHAELA A PEAT
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Credential | EMT-S
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Telephone | 941-639-9119
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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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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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