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General NPI Number Information
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NPI Number | 1285393462
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Entity Type | Organization
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Legal Business Name | RIDE & TRANSPORT
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 212 E ROWLAND ST, SUTE 197 COVINA CA 91723 212 E ROWLAND ST SUITE 197
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City | COVINA
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State | CA
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Zip | 91723
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Country | US
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Telephone | 626-426-4304
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Fax | 626-364-7481
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Provider Business Mailing Address
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Address Line | 212 E ROWLAND ST, SUTE 197 COVINA CA 91723 212 E ROWLAND ST SUITE 197
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City | COVINA
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State | CA
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Zip | 91723
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Country | US
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Telephone | 626-426-4304
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Fax | 626-364-7481
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Authorized Official
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Title or Position | OWNER
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Name | JULIANA O GOMEZ
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Credential |
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Telephone | 626-426-4304
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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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