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General NPI Number Information
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NPI Number | 1942405477
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Entity Type | Organization
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Legal Business Name | TRINITY AIR AMBULANCE INTERNATIONAL LLC
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 3535 GALT OCEAN DRIVE
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City | FT. LAUDERDALE
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State | FL
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Zip | 33308-5019
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Country | US
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Telephone | 954-771-7911
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Fax |
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Provider Business Mailing Address
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Address Line | 3535 GALT OCEAN DR
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-6801
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Country | US
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Telephone | 954-771-7911
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. INGER LISA SKRODER
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Credential |
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Telephone | 954-771-7911
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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 | 0428
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License Number State | FL
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