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General NPI Number Information
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NPI Number | 1346922671
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Entity Type | Organization
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Legal Business Name | PEACE RIDE LLC
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 120 S GRAND AVE APT 22
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City | ANAHEIM
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State | CA
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Zip | 92804-1656
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Country | US
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Telephone | 714-366-9691
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Fax |
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Provider Business Mailing Address
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Address Line | 120 S GRAND AVE APT 22
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City | ANAHEIM
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State | CA
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Zip | 92804-1656
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Country | US
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Telephone | 714-366-9691
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ISAAC ARAYA
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Credential |
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Telephone | 714-366-9691
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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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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 | 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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