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General NPI Number Information
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NPI Number | 1023484086
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Entity Type | Organization
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Legal Business Name | 2PICK-A-RIDE
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 2102 SAM WILSON ST
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City | HOUSTON
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State | TX
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Zip | 77020-4456
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Country | US
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Telephone | 832-362-6063
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 394
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City | GALENA PARK
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State | TX
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Zip | 77547-0394
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Country | US
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Telephone | 832-362-6063
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAROLYN DENESE HENLEY
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Credential |
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Telephone | 832-362-6063
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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 | 13751852
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License Number State | TX
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