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General NPI Number Information
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NPI Number | 1508415563
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Entity Type | Organization
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Legal Business Name | WHEEL MAKE YOU MOBILE CONSULTANTS LLC
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 5541 MURTON PL
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City | FORT WORTH
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State | TX
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Zip | 76137-3763
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Country | US
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Telephone | 817-201-3962
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Fax |
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Provider Business Mailing Address
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Address Line | 520 E VINE ST # 1598
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City | KELLER
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State | TX
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Zip | 76248-2300
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Country | US
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Telephone | 817-201-3962
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. MILINA STODDARD
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Credential |
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Telephone | 817-201-3962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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