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General NPI Number Information
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NPI Number | 1841341013
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Entity Type | Organization
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Legal Business Name | INTENSIVE AIR, INC.
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 8830 S TAMIAMI TRL SUITE 100
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City | SARASOTA
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State | FL
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Zip | 34238-3110
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Country | US
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Telephone | 941-926-2490
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Fax | 941-536-2006
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Provider Business Mailing Address
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Address Line | 8830 S TAMIAMI TRL SUITE 100
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City | SARASOTA
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State | FL
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Zip | 34238-3110
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Country | US
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Telephone | 941-926-2490
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Fax | 941-536-2006
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CLIFTON E. CAROTHERS
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Credential |
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Telephone | 941-926-2490
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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 | 3043
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License Number State | FL
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