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1043154578 NPI number — RIDE OF FAITH, LLC

NPI Number: 1043154578
Health Care Provider/Practitioner: RIDE OF FAITH, LLC

Information about “1043154578” NPI (RIDE OF FAITH, LLC) exists in 1043154578 in HTML format HTML  |  1043154578 in plain Text format TXT  |  1043154578 in PDF (Portable Document Format) PDF  |  1043154578 in an XML format XML  formats.

NPI Number : 1043154578 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043154578",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RIDE OF FAITH, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2425 HIGHWAY 84 E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MEADVILLE",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39653-8391",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "769-244-7046",
    "MailingAddressFaxNumber": "888-835-2599",
    "FirstLinePracticeLocationAddress": "2425 HIGHWAY 84 E",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MEADVILLE",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39653-8391",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "769-244-7046",
    "PracticeLocationAddressFaxNumber": "888-835-2599",
    "EnumerationDate": "04/15/2026",
    "LastUpdateDate": "04/15/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JONES",
    "AuthorizedOfficialFirstName": "YVONNE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO/AUTHORIZED OFFICIAL",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "769-244-7046",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "342000000X",
          "TaxonomyName": "Transportation Network Company",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "347E00000X",
          "TaxonomyName": "Transportation Broker",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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