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General NPI Number Information
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NPI Number | 1568276186
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Entity Type | Organization
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Legal Business Name | CFJR SAFE TRAVELS ORGANIZATION
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3081 DAWSON LN SW
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City | ATLANTA
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State | GA
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Zip | 30331-5473
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Country | US
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Telephone | 912-532-7419
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Fax |
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Provider Business Mailing Address
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Address Line | 3645 MARKETPLACE BLVD STE 130-165
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City | EAST POINT
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State | GA
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Zip | 30344-5747
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Country | US
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Telephone | 404-594-3467
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | MR. CLYDE FLEMING JR.
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Credential |
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Telephone | 912-532-7419
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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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