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NPI 1396902607

NPI 1396902607 : HANDICAPPED LIFT AIDS INC : TYLER, TX

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General NPI Number Information
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    NPI Number           |    1396902607
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    Entity Type          |    Organization 
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    Legal Business Name  |    HANDICAPPED LIFT AIDS INC 
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Dates
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    Enumeration Date     |    05/22/2008
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    Last Update Date     |    08/28/2024
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Provider Practice Location Address
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    Address Line         |    2407 WSW LOOP 323 
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    City                 |    TYLER
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    State                |    TX
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    Zip                  |    75701-9208
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    Country              |    US
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    Telephone            |    903-581-8844
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    Fax                  |    903-581-9845
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Provider Business Mailing Address
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    Address Line         |    2310 CALDER ST 
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    City                 |    BEAUMONT
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    State                |    TX
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    Zip                  |    77702-2015
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    Country              |    US
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    Telephone            |    409-832-3400
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    Fax                  |    409-832-2812
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Authorized Official
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    Title or Position    |    TREASURER
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    Name                 |     SILVIA  BAKER 
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    Credential           |    
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    Telephone            |    903-581-8844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171WH0202X
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    Taxonomy Name        |    Home Modifications Contractor
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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        |    171WV0202X
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    Taxonomy Name        |    Vehicle Modifications Contractor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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