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General NPI Number Information
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NPI Number | 1073434569
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Entity Type | Organization
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Legal Business Name | MAX MOBILITY LLC
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 21 MOHAWK TRAIL UNIT 18
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City | GREENFIELD
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State | MA
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Zip | 01301
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Country | US
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Telephone | 978-629-7679
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Fax | 877-817-3851
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Provider Business Mailing Address
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Address Line | 21 MOHAWK TRL UNIT 18
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City | GREENFIELD
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State | MA
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Zip | 01301-3252
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Country | US
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Telephone | 978-629-7679
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Fax | 877-817-3851
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Authorized Official
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Title or Position | FOUNDER
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Name | MR. OLIVER MAX NIGROSH
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Credential | CPO
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Telephone | 413-695-1606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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