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NPI 1013429075

NPI 1013429075 : RICBEN NON-MEDICAL TRANSPORTATION SERVICES : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1013429075
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    Entity Type          |    Organization 
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    Legal Business Name  |    RICBEN NON-MEDICAL TRANSPORTATION SERVICES 
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Dates
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    Enumeration Date     |    10/31/2017
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    Last Update Date     |    07/20/2018
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Provider Practice Location Address
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    Address Line         |    17802 RED WOLF DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77084
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    Country              |    US
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    Telephone            |    281-781-6473
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    17802 RED WOLF DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77084-1037
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    Country              |    US
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    Telephone            |    281-781-6473
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO/OWNER
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    Name                 |     BENDU MCBORROUGH DAWOLO 
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    Credential           |    
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    Telephone            |    281-836-1869
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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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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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