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General NPI Number Information
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NPI Number | 1932899390
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Entity Type | Organization
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Legal Business Name | ASSURED RIDE LLC
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Dates
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Enumeration Date | 05/09/2023
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 9304 FOREST LN STE S146
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City | DALLAS
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State | TX
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Zip | 75243-6238
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Country | US
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Telephone | 469-704-6237
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Fax |
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Provider Business Mailing Address
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Address Line | 3245 SIMPSON STUART RD APT 605
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City | DALLAS
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State | TX
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Zip | 75241-5034
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Country | US
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Telephone | 469-704-6237
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Fax |
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Authorized Official
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Title or Position | OWNER / MANGER
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Name | HENOK GIZAW
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Credential |
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Telephone | 469-704-6237
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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 | 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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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #5
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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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