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General NPI Number Information
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NPI Number | 1992818645
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Entity Type | Organization
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Legal Business Name | DESERT AIR AMBULANCE INC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 140 N. BROADWAY DR.
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City | BLYTHE
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State | CA
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Zip | 92225-1608
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Country | US
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Telephone | 760-922-5911
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Fax | 760-922-5912
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Provider Business Mailing Address
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Address Line | PO BOX 796
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City | BLYTHE
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State | CA
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Zip | 92226-0796
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Country | US
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Telephone | 760-922-5911
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Fax | 760-922-5912
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TRINA RENEE DAVIS-SARTIN
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Credential | RN
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Telephone | 760-922-5911
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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 | U7ZA454L
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License Number State | CA
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