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NPI 1386535102

NPI 1386535102 : MEDI RIDES LLC : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1386535102
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDI RIDES LLC 
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Dates
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    Enumeration Date     |    07/10/2025
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    Last Update Date     |    07/30/2025
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Provider Practice Location Address
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    Address Line         |    5100 WELCOME ALL RD SW APT C20 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30349-2575
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    Country              |    US
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    Telephone            |    404-553-4379
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5100 WELCOME ALL RD SW APT C20 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30349-2575
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    Country              |    US
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    Telephone            |    678-467-4037
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     TEMEKA  RAY 
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    Credential           |    
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    Telephone            |    404-553-4379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    342000000X
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    Taxonomy Name        |    Transportation Network Company
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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        |    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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Taxonomy #3
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    
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