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General NPI Number Information
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NPI Number | 1821855578
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Entity Type | Organization
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Legal Business Name | CARERIDE EXPRESS LLC
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Dates
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Enumeration Date | 02/29/2024
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 891 KELLER PKWY STE 204E
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City | KELLER
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State | TX
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Zip | 76248-2486
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Country | US
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Telephone | 571-685-9503
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 ASHMORE CT
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City | KELLER
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State | TX
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Zip | 76248-8444
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Country | US
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Telephone | 571-685-9503
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIAEYLKS GEBREMICHAEL
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Credential |
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Telephone | 571-685-9503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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