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General NPI Number Information
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NPI Number | 1518820224
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Entity Type | Organization
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Legal Business Name | RUN AWAY RIDE
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 10012 50K ST SW
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City | LEFOR
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State | ND
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Zip | 58641-9263
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Country | US
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Telephone | 701-885-0371
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Fax | 701-299-6556
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Provider Business Mailing Address
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Address Line | 10012 50K ST SW
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City | LEFOR
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State | ND
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Zip | 58641-9263
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Country | US
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Telephone | 701-885-0371
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Fax | 701-299-6556
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD ARTHUR FULDA
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Credential |
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Telephone | 701-885-0371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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