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General NPI Number Information
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NPI Number | 1548648181
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Entity Type | Organization
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Legal Business Name | READY RIDE TRANSPORTATION LLC
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 2411 BYRON STATION DR SW SUITE 3
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City | BYRON CENTER
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State | MI
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Zip | 49315-8002
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Country | US
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Telephone | 616-261-2400
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Fax | 616-582-5907
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Provider Business Mailing Address
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Address Line | 2411 BYRON STATION DR SW SUITE 3
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City | BYRON CENTER
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State | MI
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Zip | 49315-8002
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Country | US
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Telephone | 616-261-2400
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Fax | 616-582-5907
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EDWARD JOSEPH LEMIEUX
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Credential |
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Telephone | 616-261-2400
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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 | L10455
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License Number State | MI
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