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General NPI Number Information
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NPI Number | 1578972238
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Entity Type | Organization
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Legal Business Name | KOOL C.A.T. SCOOTERS USA LLC
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 8900 HICKORY HILL DR
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City | GRANBURY
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State | TX
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Zip | 76049-4121
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Country | US
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Telephone | 682-500-2791
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Fax |
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Provider Business Mailing Address
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Address Line | 8900 HICKORY HILL DR
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City | GRANBURY
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State | TX
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Zip | 76049-4121
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Country | US
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Telephone | 682-500-2791
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID CAMPBELL
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Credential |
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Telephone | 682-500-2791
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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 | 20130001380
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License Number State | TX
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