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General NPI Number Information
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NPI Number | 1952307126
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Entity Type | Organization
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Legal Business Name | MED FLIGHT AIR AMBULANCE INC
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 2301 YALE BLVD SE STE D3
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4355
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Country | US
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Telephone | 505-842-4433
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Fax | 505-842-4436
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Provider Business Mailing Address
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Address Line | 2301 YALE BLVD SE STE D3
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4355
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Country | US
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Telephone | 505-842-4433
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Fax | 505-842-4436
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Authorized Official
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Title or Position | CEO
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Name | DR. LARRY D LEVY
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Credential | MD
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Telephone | 505-842-4433
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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 | 071005
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 2927L
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | 3430
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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License Number | F00010
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License Number State | NM
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