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General NPI Number Information
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NPI Number | 1285815290
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Entity Type | Organization
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Legal Business Name | RIDE-N-OUR ELEVATOR, INC.
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 6554 44TH ST. NO. 1010
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City | PINELLAS PARK
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State | FL
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Zip | 33781-5963
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Country | US
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Telephone | 727-526-3585
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Fax |
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Provider Business Mailing Address
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Address Line | 6554 44TH ST. NO. 1010
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City | PINELLAS PARK
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State | FL
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Zip | 33781-5963
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Country | US
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Telephone | 727-526-3585
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. JOHN R. PERRONI
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Credential | N/A
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Telephone | 727-526-3585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | CC2294
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License Number State | FL
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