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General NPI Number Information
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NPI Number | 1962630129
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Entity Type | Organization
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Legal Business Name | SOUTHEASTERN OHIO AIR SERVICE, INC.
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Dates
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Enumeration Date | 06/26/2009
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Last Update Date | 06/26/2009
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Provider Practice Location Address
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Address Line | 850 AIRPORT RD
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City | ZANESVILLE
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State | OH
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Zip | 43701-0971
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Country | US
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Telephone | 740-452-3625
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Fax | 740-452-1446
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Provider Business Mailing Address
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Address Line | 850 AIRPORT RD
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City | ZANESVILLE
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State | OH
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Zip | 43701-0971
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Country | US
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Telephone | 740-452-3625
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Fax | 740-452-1446
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOEL DAVID DOWNING
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Credential |
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Telephone | 740-452-3625
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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 | DXGA393D
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License Number State | OH
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