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General NPI Number Information
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NPI Number | 1669314274
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Entity Type | Organization
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Legal Business Name | SOUTHERN GALZ NON EMERGENCY MEDICAL TRANSPORTATION
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 324 CREEK RD
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City | SWEETWATER
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State | TN
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Zip | 37874-6765
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Country | US
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Telephone | 253-398-4406
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Fax |
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Provider Business Mailing Address
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Address Line | 324 CREEK RD
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City | SWEETWATER
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State | TN
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Zip | 37874-6765
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Country | US
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Telephone | 253-398-4406
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE ELIZABETH MORAN
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Credential | OWNER
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Telephone | 253-398-4406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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