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General NPI Number Information
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NPI Number | 1427530948
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Entity Type | Organization
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Legal Business Name | SAFCO LLC
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 08/31/2018
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Provider Practice Location Address
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Address Line | 4517 FERRER DR
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City | SAINT LOUIS
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State | MO
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Zip | 63129-3740
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Country | US
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Telephone | 314-556-1704
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Fax | 314-329-6221
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Provider Business Mailing Address
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Address Line | 4517 FERRER DR
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City | SAINT LOUIS
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State | MO
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Zip | 63129-3740
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Country | US
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Telephone | 314-556-1704
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Fax | 314-329-6221
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDILL OSMUN MAHAMMED
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Credential |
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Telephone | 314-556-1704
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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 | LC001549838
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License Number State | MO
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