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General NPI Number Information
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NPI Number | 1972772648
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Entity Type | Organization
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Legal Business Name | UNITED AIR AND GROUND AMBULANCE INC.
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 510 N LA BREA AVE
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City | INGLEWOOD
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State | CA
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Zip | 90302-3005
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Country | US
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Telephone | 310-672-9100
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Fax | 310-672-9104
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Provider Business Mailing Address
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Address Line | 510 N LA BREA AVE
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City | INGLEWOOD
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State | CA
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Zip | 90302-3005
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Country | US
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Telephone | 310-672-9100
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Fax | 310-672-9104
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Authorized Official
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Title or Position | OFFICER
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Name | MS. MICHELE MARIE LONGWELL
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Credential |
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Telephone | 310-672-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1933
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License Number State | CA
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