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General NPI Number Information
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NPI Number | 1609594423
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Entity Type | Organization
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Legal Business Name | IPRIDE TRANSPORT SOLUTIONS, LLC
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 1829 HIGHWAY 81 STE 100
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City | LOGANVILLE
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State | GA
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Zip | 30052-4591
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Country | US
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Telephone | 678-230-7118
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Fax |
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Provider Business Mailing Address
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Address Line | 1829 HIGHWAY 81 STE 100
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City | LOGANVILLE
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State | GA
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Zip | 30052-4591
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Country | US
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Telephone | 678-230-7118
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Fax |
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Authorized Official
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Title or Position | TRANSPORTATION OWNER
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Name | FELICIA DENIESE WILLIAMS
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Credential |
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Telephone | 678-230-7118
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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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