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NPI 1235641127

NPI 1235641127 : WHEELS FOR LIFE INC : LEWISVILLE, TX

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General NPI Number Information
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    NPI Number           |    1235641127
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHEELS FOR LIFE INC 
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Dates
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    Enumeration Date     |    10/31/2017
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    Last Update Date     |    10/31/2017
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Provider Practice Location Address
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    Address Line         |    656 HEMBRY ST 
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75057-4777
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    Country              |    US
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    Telephone            |    469-271-4624
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    656 HEMBRY ST 
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    City                 |    LEWISVILLE
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    State                |    TX
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    Zip                  |    75057-4777
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    Country              |    US
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    Telephone            |    469-271-4624
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. FABIAN  HUGHES 
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    Credential           |    
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    Telephone            |    469-271-4624
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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       |    27716346
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    License Number State |    TX
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Taxonomy #2
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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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