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General NPI Number Information
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NPI Number | 1962399451
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Entity Type | Organization
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Legal Business Name | RELAX AND RIDE OKLAHOMA, LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 10703 N GARNETT RD APT G103
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City | OWASSO
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State | OK
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Zip | 74055-8972
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Country | US
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Telephone | 740-858-8499
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Fax | 740-858-8499
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Provider Business Mailing Address
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Address Line | 10703 N GARNETT RD APT G103
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City | OWASSO
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State | OK
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Zip | 74055-8972
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Country | US
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Telephone | 740-858-8499
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Fax | 740-858-8499
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE CASTILLO
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Credential |
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Telephone | 740-858-8499
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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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