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General NPI Number Information
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NPI Number | 1942836937
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Entity Type | Organization
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Legal Business Name | TW ENTERPRISE LLC
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Dates
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Enumeration Date | 03/21/2020
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 2380 SCIENCE PKWY STE 112
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City | OKEMOS
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State | MI
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Zip | 48864-2601
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Country | US
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Telephone | 810-444-6849
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Fax |
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Provider Business Mailing Address
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Address Line | 2380 SCIENCE PKWY STE 112
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City | OKEMOS
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State | MI
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Zip | 48864-2601
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Country | US
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Telephone | 517-258-9261
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRISTOPHER SLATER
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Credential |
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Telephone | 517-258-9261
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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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