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General NPI Number Information
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NPI Number | 1881058907
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Entity Type | Organization
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Legal Business Name | COMFORT CARE RIDE
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 22243 W WARREN ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2531
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Country | US
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Telephone | 313-695-3191
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Fax |
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Provider Business Mailing Address
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Address Line | 22243 W WARREN ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2531
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Country | US
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Telephone | 313-695-3191
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALI MAKKI
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Credential |
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Telephone | 313-695-3191
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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 | E5226H
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License Number State | MI
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