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General NPI Number Information
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NPI Number | 1023395027
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Entity Type | Organization
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Legal Business Name | FOUNDERS HEALTHCARE, LLC
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 08/03/2018
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Provider Practice Location Address
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Address Line | 2844 E MAIN ST STE 105
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City | FARMINGTON
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State | NM
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Zip | 87402
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Country | US
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Telephone | 505-325-9868
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Fax | 505-325-9772
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Provider Business Mailing Address
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Address Line | PO BOX 40700
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City | MESA
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State | AZ
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Zip | 85274-0700
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Country | US
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Telephone | 480-466-9010
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM KEYS
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Credential |
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Telephone | 480-446-9010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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