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General NPI Number Information
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NPI Number | 1497055131
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Entity Type | Organization
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Legal Business Name | SAFE PASSAGE NON-EMERGENCY TRANSPORTATION
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Dates
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Enumeration Date | 10/28/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 5 CARVER CIR
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City | PORTSMOUTH
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State | VA
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Zip | 23701-3003
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Country | US
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Telephone | 757-818-5569
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Fax |
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Provider Business Mailing Address
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Address Line | 5 CARVER CIR
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City | PORTSMOUTH
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State | VA
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Zip | 23701-3003
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Country | US
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Telephone | 757-818-5569
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER
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Name | TANYA DENISE GODWIN
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Credential | BS, MSW
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Telephone | 757-818-5569
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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 |
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License Number State |
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