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General NPI Number Information
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NPI Number | 1831359942
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Entity Type | Organization
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Legal Business Name | SCOOTER DIRECT INC.
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 11431 CHALLENGER AVE
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City | ODESSA
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State | FL
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Zip | 33556-3446
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Country | US
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Telephone | 727-816-9772
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Fax | 727-816-9773
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Provider Business Mailing Address
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Address Line | 1509 AMARYLLIS CT
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City | TRINITY
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State | FL
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Zip | 34655-4964
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Country | US
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Telephone | 727-816-9772
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Fax | 727-816-9773
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JIHAD FARES
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Credential |
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Telephone | 813-610-0385
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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 |
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License Number State |
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