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General NPI Number Information
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NPI Number | 1053589150
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Entity Type | Organization
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Legal Business Name | SFA MOBILITY LLC
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 1329 N UNIVERSITY DR SUITE F-4
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4232
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Country | US
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Telephone | 936-559-5522
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Fax |
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Provider Business Mailing Address
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Address Line | 1329 N UNIVERSITY DR SUITE F-4
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4232
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Country | US
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Telephone | 936-559-5522
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNA B MICHOWSKA
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Credential |
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Telephone | 361-655-9242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 32034522279
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License Number State | TX
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