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General NPI Number Information
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NPI Number | 1891980066
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Entity Type | Organization
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Legal Business Name | LIFE AIR INC
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 01/22/2009
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Provider Practice Location Address
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Address Line | 729 6TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4030
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Country | US
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Telephone | 740-354-6169
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Fax | 740-354-4133
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Provider Business Mailing Address
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Address Line | 729 6TH ST
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City | PORTSMOUTH
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State | OH
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Zip | 45662-4030
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Country | US
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Telephone | 740-354-6169
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Fax | 740-354-4133
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | GENE MEADOWS
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Credential | ESQ
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Telephone | 740-354-6169
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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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