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General NPI Number Information
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NPI Number | 1093259236
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Entity Type | Organization
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Legal Business Name | GET AROUND MOBILITY LLC
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Dates
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Enumeration Date | 12/07/2016
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 3111 S VALLEY VIEW BLVD STE U108
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City | LAS VEGAS
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State | NV
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Zip | 89102-8391
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Country | US
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Telephone | 702-637-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 209 MALCOLM ST
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City | HENDERSON
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State | NV
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Zip | 89074-5482
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Country | US
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Telephone | 702-637-0008
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Fax | 702-685-3111
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH WILLIAM LICAUSI
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Credential |
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Telephone | 702-637-0008
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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 | 2001216-346
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 2000418-345
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License Number State | NV
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