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General NPI Number Information
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NPI Number | 1205299773
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Entity Type | Organization
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Legal Business Name | SAFE TRAVEL TRANSPORTATION, LLC
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 13128 PLANK RD
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City | BAKER
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State | LA
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Zip | 70714-4915
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Country | US
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Telephone | 225-776-9540
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Fax | 225-774-3388
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Provider Business Mailing Address
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Address Line | 13128 PLANK RD
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City | BAKER
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State | LA
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Zip | 70714-4915
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Country | US
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Telephone | 225-776-9540
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Fax | 225-774-3388
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MICHAEL THOMAS SR.
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Credential |
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Telephone | 225-776-9540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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