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General NPI Number Information
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NPI Number | 1295540144
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Entity Type | Organization
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Legal Business Name | SAFE JOURNEY
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 273 JARRELL RD
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City | KOKOMO
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State | MS
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Zip | 39643-5015
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Country | US
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Telephone | 601-966-4505
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Fax |
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Provider Business Mailing Address
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Address Line | 273 JARRELL RD
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City | KOKOMO
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State | MS
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Zip | 39643-5015
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Country | US
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Telephone | 601-966-4505
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TERENCE DILLON
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Credential |
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Telephone | 601-966-4505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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Taxonomy #6
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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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