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General NPI Number Information
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NPI Number | 1811448608
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Entity Type | Organization
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Legal Business Name | A WONDERFUL WAY TO RIDE,LLC
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 225 SEDGEFIELD LN
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City | DANVILLE
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State | VA
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Zip | 24541-6105
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Country | US
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Telephone | 434-429-7793
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Fax |
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Provider Business Mailing Address
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Address Line | 225 SEDGEFIELD LN
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City | DANVILLE
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State | VA
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Zip | 24541-6105
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Country | US
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Telephone | 434-429-7793
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Fax |
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Authorized Official
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Title or Position | OWER/MANAGER
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Name | MRS. MELISSA KAYE WALKER
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Credential |
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Telephone | 434-429-7793
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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 | 498
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License Number State | VA
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