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General NPI Number Information
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NPI Number | 1871301945
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Entity Type | Organization
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Legal Business Name | MY MOBILITY RIDE
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 1970 MAIN ST E STE B142
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City | SNELLVILLE
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State | GA
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Zip | 30078-6463
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Country | US
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Telephone | 678-255-5195
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 83012
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City | CONYERS
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State | GA
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Zip | 30013-8014
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Country | US
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Telephone | 678-255-5195
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JANICE BRYANT
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Credential |
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Telephone | 678-255-5195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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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 | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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