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General NPI Number Information
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NPI Number | 1962113175
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Entity Type | Organization
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Legal Business Name | SMOOVE RIDE TRANSPORTATION
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Dates
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Enumeration Date | 12/08/2022
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 2723 N 29TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53210-2630
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Country | US
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Telephone | 414-520-7893
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Fax | 414-445-7960
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Provider Business Mailing Address
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Address Line | 3715 WEST CENER STREET
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City | MILWAUKEE
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State | WI
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Zip | 53210-2630
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Country | US
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Telephone | 414-308-7570
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Fax | 414-000-0000
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Authorized Official
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Title or Position | C EO
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Name | MR. TYRONE NONE JONES SR.
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Credential |
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Telephone | 414-308-7570
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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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