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General NPI Number Information
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NPI Number | 1013023209
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Entity Type | Organization
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Legal Business Name | MOBILITY SPECIALISTS INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 4515 S GEORGIA ST STE 138
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City | AMARILLO
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State | TX
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Zip | 79110-1712
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Country | US
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Telephone | 806-463-2828
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Fax | 806-463-1353
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Provider Business Mailing Address
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Address Line | 4515 S GEORGIA ST STE 138
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City | AMARILLO
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State | TX
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Zip | 79110-1712
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Country | US
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Telephone | 806-463-2828
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Fax | 806-463-1353
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Authorized Official
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Title or Position | VP
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Name | JAMES BRIAN SELMAN
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Credential |
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Telephone | 806-463-2828
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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 | 0046462
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License Number State | TX
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