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General NPI Number Information
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NPI Number | 1063228542
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Entity Type | Organization
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Legal Business Name | AVID CARE TRANSPORT LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 1127 EUCLID AVE APT 217
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City | CLEVELAND
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State | OH
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Zip | 44115-1607
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Country | US
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Telephone | 216-759-6141
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Fax |
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Provider Business Mailing Address
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Address Line | 410 SUPERIOR AVE PO BOX 14142
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City | CLEVELAND
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State | OH
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Zip | 44114
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Country | US
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Telephone | 216-759-6141
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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. USAMAH KHALIFAH
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Credential |
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Telephone | 216-759-6141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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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 | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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