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General NPI Number Information
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NPI Number | 1306355540
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Entity Type | Organization
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Legal Business Name | RIDE AID INC.
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 2100 W BALL RD
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City | ANAHEIM
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State | CA
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Zip | 92804-5417
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Country | US
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Telephone | 714-909-5000
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Fax | 714-333-4412
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Provider Business Mailing Address
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Address Line | 1438 S EUCLID ST
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City | ANAHEIM
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State | CA
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Zip | 92802-2103
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Country | US
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Telephone | 714-809-4444
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Fax | 714-333-4412
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Authorized Official
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Title or Position | CEO
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Name | MR. MOE A JERRAR
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Credential | PROVIDER
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Telephone | 714-809-4444
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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 | BUS2017-02493
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License Number State | CA
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