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NPI 1962020016

NPI 1962020016 : LOCAL RIDE TRANSPORTATION LLC : UPLAND, CA

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General NPI Number Information
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    NPI Number           |    1962020016
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOCAL RIDE TRANSPORTATION LLC 
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Dates
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    Enumeration Date     |    07/06/2020
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    Last Update Date     |    07/06/2020
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Provider Practice Location Address
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    Address Line         |    1429 LEMONWOOD DR E 
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    City                 |    UPLAND
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    State                |    CA
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    Zip                  |    91786-2540
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    Country              |    US
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    Telephone            |    626-315-4410
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1429 LEMONWOOD DR E 
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    City                 |    UPLAND
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    State                |    CA
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    Zip                  |    91786-2540
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    Country              |    US
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    Telephone            |    626-315-4410
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HELAL  KASSFY 
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    Credential           |    
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    Telephone            |    626-315-4410
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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       |    
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    License Number State |    
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