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General NPI Number Information
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NPI Number | 1699770891
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Entity Type | Organization
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Legal Business Name | SCOOTERS WHEELCHAIRS TOO, INC.
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1712 W MAIN ST
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City | GUN BARREL CITY
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State | TX
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Zip | 75156-4398
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Country | US
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Telephone | 903-887-2221
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Fax | 903-887-2228
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Provider Business Mailing Address
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Address Line | 1712 W MAIN ST
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City | GUN BARREL CITY
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State | TX
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Zip | 75156-4398
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Country | US
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Telephone | 903-887-2221
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Fax | 903-887-2228
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Authorized Official
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Title or Position | OWNER
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Name | MR. BYRON K GREEN
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Credential |
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Telephone | 903-887-2221
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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 | 1--9
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License Number State | TX
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