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General NPI Number Information
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NPI Number | 1275015240
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Entity Type | Organization
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Legal Business Name | SENIOR RIDE & HOMECARE INC.
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 09/05/2018
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Provider Practice Location Address
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Address Line | 26050 ACERO STE 315
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City | MISSION VIEJO
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State | CA
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Zip | 92691-2768
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Country | US
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Telephone | 949-202-8908
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Fax | 949-597-8406
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Provider Business Mailing Address
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Address Line | 26050 ACERO STE 315
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City | MISSION VIEJO
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State | CA
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Zip | 92691-2768
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Country | US
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Telephone | 949-202-8908
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Fax | 949-597-8406
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Authorized Official
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Title or Position | CEO
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Name | MRS. LOIDA HERNANDEZ ANGELES
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Credential |
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Telephone | 949-202-8908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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 | DP020JK
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License Number State | CA
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