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General NPI Number Information
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NPI Number | 1235057050
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Entity Type | Organization
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Legal Business Name | MEDLYFT
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 5608 WALTON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19143-2426
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Country | US
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Telephone | 215-436-7819
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Fax |
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Provider Business Mailing Address
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Address Line | 5608 WALTON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19143-2426
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Country | US
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Telephone | 215-436-7819
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Fax |
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Authorized Official
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Title or Position | FLEET OPERATOR
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Name | MS. SHAKIA T SMITH-FUDGE
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Credential |
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Telephone | 215-820-9233
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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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