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General NPI Number Information
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NPI Number | 1982612693
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Entity Type | Organization
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Legal Business Name | FUSION CUSTOM CHAIRS, LLC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 1607 PRAIRIE ST
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City | ESSEXVILLE
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State | MI
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Zip | 48732-1445
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Country | US
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Telephone | 989-402-1966
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Fax | 989-341-3333
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Provider Business Mailing Address
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Address Line | 1607 PRAIRIE STREET
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City | ESSEXVILLE
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State | MI
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Zip | 48732-1445
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Country | US
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Telephone | 989-894-5906
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Fax | 989-509-5950
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Authorized Official
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Title or Position | OWNER
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Name | NICK LONG
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Credential |
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Telephone | 989-894-5906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | MI
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