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General NPI Number Information
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NPI Number | 1073502456
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Entity Type | Organization
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Legal Business Name | HEMET MOBILITY CENTER INC.
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 41215 FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92544-4805
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Country | US
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Telephone | 951-929-6159
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Fax | 951-766-0010
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Provider Business Mailing Address
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Address Line | 41215 E FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92544-4805
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Country | US
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Telephone | 951-929-6159
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Fax | 951-766-0010
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | TOURYALAI SHALIKAR
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Credential |
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Telephone | 951-929-6159
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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 |
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