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General NPI Number Information
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NPI Number | 1548045180
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Entity Type | Organization
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Legal Business Name | SAFE & GENTLE NON-EMERGENCY MEDICAL TRANSPORTATION SERVICE LLC
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Dates
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Enumeration Date | 08/30/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 2001 JACOCKS LN APT 111
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City | FORT WORTH
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State | TX
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Zip | 76115-3847
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Country | US
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Telephone | 817-420-2708
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 JACOCKS LN APT 111
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City | FORT WORTH
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State | TX
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Zip | 76115-3847
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Country | US
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Telephone | 817-420-2708
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Fax |
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Authorized Official
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Title or Position | MANAGER (OWNER)
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Name | FARHIYA ALI FARAH
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Credential |
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Telephone | 817-420-2708
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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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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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