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General NPI Number Information
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NPI Number | 1972453074
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Entity Type | Organization
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Legal Business Name | AFRATA RIDE
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 16393 CORKBARK TER
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City | MONUMENT
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State | CO
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Zip | 80132-6155
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Country | US
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Telephone | 720-998-4614
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Fax |
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Provider Business Mailing Address
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Address Line | 19712 E 63RD DR
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City | MONUMENT
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State | CO
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Zip | 80132
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Country | US
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Telephone | 720-998-4614
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | WOLDIE GEBREMARIAM
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Credential |
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Telephone | 720-998-4614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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