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General NPI Number Information
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NPI Number | 1396918306
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Entity Type | Organization
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Legal Business Name | SAFEWAY MEDICAL TRANSPORTATION & PROFESSIONAL INC
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 3309 W 123RD ST
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City | CLEVELAND
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State | OH
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Zip | 44111-2638
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Country | US
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Telephone | 216-322-0015
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Fax | 216-252-2719
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Provider Business Mailing Address
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Address Line | 3309 W 123RD STREET
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City | CLEVELAND
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State | OH
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Zip | 44111
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Country | US
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Telephone | 216-780-1769
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Fax | 216-252-2719
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY M OKORO
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Credential |
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Telephone | 216-322-0015
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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 | 187335
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License Number State | OH
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