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General NPI Number Information
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NPI Number | 1982238010
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Entity Type | Organization
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Legal Business Name | RIDE-ON TRANSPORT LLC
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Dates
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Enumeration Date | 02/27/2020
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 1352 3RD AVE SE
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City | ROCHESTER
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State | MN
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Zip | 55904-7926
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Country | US
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Telephone | 507-319-1752
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Fax |
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Provider Business Mailing Address
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Address Line | 2707 KNOLLWOOD DR SE
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City | ROCHESTER
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State | MN
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Zip | 55904-6917
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GAAS ROBLE
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Credential |
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Telephone | 507-319-1752
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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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