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General NPI Number Information
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NPI Number | 1417225608
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Entity Type | Organization
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Legal Business Name | SAFE AT HOME, INC.
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Dates
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Enumeration Date | 12/02/2011
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 2209 WEBBER ST
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City | SARASOTA
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State | FL
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Zip | 34239-5331
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Country | US
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Telephone | 941-366-7864
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Fax | 941-951-2409
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Provider Business Mailing Address
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Address Line | PO BOX 15673
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City | SARASOTA
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State | FL
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Zip | 34277-1673
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Country | US
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Telephone | 941-366-7864
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Fax | 941-951-2409
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. LEROY DALE REAM
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Credential |
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Telephone | 941-366-7864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number | EF20000914
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License Number State | FL
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