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General NPI Number Information
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NPI Number | 1033423603
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Entity Type | Organization
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Legal Business Name | SAFARI TRANS INC
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 08/05/2010
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Provider Practice Location Address
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Address Line | 5633 N KENMORE AVE SUITE # 33
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City | CHICAGO
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State | IL
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Zip | 60660-4622
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Country | US
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Telephone | 773-293-6845
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Fax | 773-293-7674
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Provider Business Mailing Address
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Address Line | 5633 N KENMORE AVE SUITE # 33
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City | CHICAGO
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State | IL
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Zip | 60660-4650
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Country | US
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Telephone | 773-293-6845
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Fax | 773-293-7674
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS HAPPY H MOSHA
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Credential |
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Telephone | 773-293-6845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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