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General NPI Number Information
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NPI Number | 1154498301
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Entity Type | Organization
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Legal Business Name | AFFORDABLE SCOOTERS AND WHEELCHAIRS, INC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1504 OLD MOODY BLVD SUITE 7
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City | BUNNELL
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State | FL
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Zip | 32110-8655
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Country | US
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Telephone | 386-437-1795
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Fax | 386-437-1785
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Provider Business Mailing Address
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Address Line | 1504 OLD MOODY BLVD SUITE 7
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City | BUNNELL
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State | FL
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Zip | 32110-8655
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Country | US
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Telephone | 386-437-1795
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Fax | 386-437-1785
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. RACHAEL ANN WELLBY
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Credential |
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Telephone | 386-437-1795
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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 | 28-8013708828-9
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License Number State | FL
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