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NPI 1689384513

NPI 1689384513 : SAFE VALLEY TRANSPORTATION LLC : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1689384513
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAFE VALLEY TRANSPORTATION LLC 
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Dates
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    Enumeration Date     |    12/01/2022
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    Last Update Date     |    12/01/2022
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Provider Practice Location Address
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    Address Line         |    2809 E FRYE RD 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85048-8530
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    Country              |    US
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    Telephone            |    480-717-0223
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2809 E FRYE RD 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85048-8530
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. EBENS  ALCE 
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    Credential           |    
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    Telephone            |    480-717-0223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2278P4000X
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    Taxonomy Name        |    Patient Transport Certified Respiratory Therapist
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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        |    2279P4000X
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    Taxonomy Name        |    Patient Transport Registered Respiratory Therapist
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    License Number       |    
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    License Number State |    
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