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General NPI Number Information
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NPI Number | 1316489412
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Entity Type | Organization
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Legal Business Name | FOLD & GO WHEELCHAIRS
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 2800 INDIAN DIVIDE RD
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City | SPICEWOOD
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State | TX
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Zip | 78669-1650
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Country | US
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Telephone | 512-817-3653
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Fax | 512-870-9772
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Provider Business Mailing Address
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Address Line | 2800 INDIAN DIVIDE RD
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City | SPICEWOOD
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State | TX
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Zip | 78669-1650
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Country | US
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Telephone | 512-817-3653
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Fax | 512-846-8385
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Authorized Official
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Title or Position | CEO
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Name | MRS. MICHELE KLEIN
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Credential | CEO
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Telephone | 512-817-3653
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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 | 1001841
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License Number State | TX
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