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General NPI Number Information
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NPI Number | 1821311630
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Entity Type | Organization
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Legal Business Name | AITHERAS AVIATION GROUP LLC
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 1601 N MARGINAL RD
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City | CLEVELAND
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State | OH
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Zip | 44114-3739
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Country | US
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Telephone | 216-298-9060
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Fax | 216-298-9068
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Provider Business Mailing Address
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Address Line | 1601 N MARGINAL RD
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City | CLEVELAND
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State | OH
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Zip | 44114-3739
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Country | US
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Telephone | 216-298-9060
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Fax | 216-298-9068
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. GEORGE K KATSIKAS
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Credential |
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Telephone | 216-298-9060
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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 | 184113
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License Number State | OH
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