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General NPI Number Information
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NPI Number | 1528154598
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Entity Type | Organization
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Legal Business Name | WHEELCHAIR RESOURCES INC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 2701 SAINT PATRICK DRIVE
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City | HENDERSON
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State | KY
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Zip | 42420
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Country | US
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Telephone | 270-826-5440
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Fax | 270-826-5440
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Provider Business Mailing Address
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Address Line | 2701 SAINT PATRICK DRIVE
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City | HENDERSON
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State | KY
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Zip | 42420
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Country | US
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Telephone | 270-826-5440
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Fax | 270-826-5440
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. BOBBY GENE POOLE
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Credential | NRRTS RTS
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Telephone | 270-826-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 45901279
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License Number State | KY
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Taxonomy #2
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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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