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General NPI Number Information
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NPI Number | 1720581267
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Entity Type | Organization
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Legal Business Name | SAFE TRAVELS LLC
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 21407 DEODORA DR
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City | SOUTH CHESTERFIELD
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State | VA
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Zip | 23803-2278
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Country | US
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Telephone | 804-715-9311
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Fax |
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Provider Business Mailing Address
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Address Line | 21407 DEODORA DR
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City | SOUTH CHESTERFIELD
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State | VA
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Zip | 23803-2278
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Country | US
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Telephone | 804-715-9311
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MISS ASHLEY DEANNA MASON
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Credential |
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Telephone | 804-926-4295
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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 | 502410
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 502410
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License Number State | VA
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