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General NPI Number Information
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NPI Number | 1386162659
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Entity Type | Organization
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Legal Business Name | SMART RIDE MEDICAL TRANSPORTATION, LLC
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 09/06/2017
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Provider Practice Location Address
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Address Line | 2100B NW MILITARY HWY
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1814
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Country | US
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Telephone | 210-355-5777
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Fax | 210-957-0225
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Provider Business Mailing Address
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Address Line | 2100B NW MILITARY HWY
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1814
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Country | US
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Telephone | 210-378-3275
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Fax | 210-957-0225
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Authorized Official
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Title or Position | SECRETARY
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Name | MR. ALEX H. COY III
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Credential | JD
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Telephone | 210-378-3275
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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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