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General NPI Number Information
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NPI Number | 1992904817
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Entity Type | Organization
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Legal Business Name | FLEETWOOD ENTERPRISES, LLC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 98 WADSWORTH BLVD UNIT 126
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City | LAKEWOOD
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State | CO
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Zip | 80226-1552
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Country | US
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Telephone | 303-882-4971
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Fax |
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Provider Business Mailing Address
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Address Line | 11010 W WALKER DR
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City | LITTLETON
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State | CO
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Zip | 80127-2424
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Country | US
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Telephone | 303-882-4971
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MURRAY S MCNEIL
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Credential |
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Telephone | 303-882-4971
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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 | CO
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