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General NPI Number Information
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NPI Number | 1285426593
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Entity Type | Organization
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Legal Business Name | SAFEWAY MEDICAL TRANSPORTATION LLC
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 210 LAKE DR
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City | SOMERVILLE
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State | TN
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Zip | 38068-9709
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Country | US
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Telephone | 901-738-2904
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 953
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City | SOMERVILLE
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State | TN
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Zip | 38068-0953
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Country | US
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Telephone | 901-738-2904
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KEAIRA JONES
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Credential |
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Telephone | 901-287-0221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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