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General NPI Number Information
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NPI Number | 1164980991
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Entity Type | Organization
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Legal Business Name | SAFE ROUTE TRANSPORTATION INC
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 91 S COVERT AVE
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City | ELMONT
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State | NY
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Zip | 11003-2407
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Country | US
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Telephone | 516-859-6075
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Fax |
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Provider Business Mailing Address
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Address Line | 91 S COVERT AVE
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City | ELMONT
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State | NY
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Zip | 11003-2407
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WENDY PONCE
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Credential |
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Telephone | 516-859-6075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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