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General NPI Number Information
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NPI Number | 1417811274
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Entity Type | Organization
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Legal Business Name | FOLSOM MOBILITY SCOOTER, LLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/21/2025
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Provider Practice Location Address
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Address Line | 9940 BUSINESS PARK DR STE 180
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City | SACRAMENTO
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State | CA
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Zip | 95827-1728
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Country | US
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Telephone | 916-850-3100
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Fax | 916-850-3100
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Provider Business Mailing Address
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Address Line | 162 BIG VALLEY RD
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City | FOLSOM
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State | CA
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Zip | 95630-4646
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Country | US
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Telephone | 279-321-9478
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Fax | 279-321-9478
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN BOYD
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Credential |
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Telephone | 279-321-9478
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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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