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General NPI Number Information
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NPI Number | 1760774442
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Entity Type | Organization
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Legal Business Name | ACE WHEELCHAIRS
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 2515 N BUENA VISTA ST
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City | BURBANK
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State | CA
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Zip | 91504-2619
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Country | US
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Telephone | 818-726-3421
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11071
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City | BURBANK
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State | CA
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Zip | 91510-1071
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Country | US
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Telephone | 818-726-3421
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL ANTHONY CROHN
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Credential |
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Telephone | 818-726-3421
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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 |
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License Number State |
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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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