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General NPI Number Information
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NPI Number | 1063719425
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Entity Type | Organization
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Legal Business Name | MOBILITY METABOLISM & WELLNESS, P.C.
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/04/2015
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Provider Practice Location Address
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Address Line | 4357 MIDMOST DR
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City | MOBILE
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State | AL
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Zip | 36609-5505
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Country | US
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Telephone | 251-345-0773
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Fax | 877-806-8642
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Provider Business Mailing Address
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Address Line | 4357 MIDMOST DR
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City | MOBILE
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State | AL
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Zip | 36609-5505
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Country | US
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Telephone | 251-345-0773
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Fax | 877-806-8642
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES M CRUMB
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Credential | M.D.
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Telephone | 251-345-0773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 24535
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License Number State | AL
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