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General NPI Number Information
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NPI Number | 1023319308
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Entity Type | Organization
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Legal Business Name | SENIOR MOBILITY INC
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 01/04/2011
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Provider Practice Location Address
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Address Line | 100 N MAIN ST
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City | HARTFORD
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State | KY
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Zip | 42347-1123
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Country | US
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Telephone | 270-298-0046
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Fax | 270-298-0079
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Provider Business Mailing Address
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Address Line | PO BOX 484
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City | HARTFORD
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State | KY
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Zip | 42347-0484
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Country | US
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Telephone | 270-298-0046
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Fax | 270-298-0079
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAREN D AMMON
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Credential |
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Telephone | 270-298-0046
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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 | KY
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