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General NPI Number Information
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NPI Number | 1942511084
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Entity Type | Organization
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Legal Business Name | SCOOTERS PLUS, INC.
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 03/25/2011
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Provider Practice Location Address
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Address Line | 412 MAIN ST
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City | KERRVILLE
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State | TX
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Zip | 78028-5210
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Country | US
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Telephone | 830-895-0505
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Fax | 830-895-0606
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Provider Business Mailing Address
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Address Line | 412 MAIN ST
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City | KERRVILLE
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State | TX
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Zip | 78028-5210
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Country | US
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Telephone | 830-895-0505
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Fax | 830-895-0606
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. JOSHUA MITCHELL RAY
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Credential |
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Telephone | 830-895-0505
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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 | 1000300
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License Number State | TX
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