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NPI 1104062926

NPI 1104062926 : AMERICAN MOBILITY CORP. : ADDISON, TX

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General NPI Number Information
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    NPI Number           |    1104062926
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICAN MOBILITY CORP. 
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Dates
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    Enumeration Date     |    12/29/2008
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    Last Update Date     |    05/29/2009
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Provider Practice Location Address
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    Address Line         |    2101 MIDWAY ROAD SUITE 140
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    City                 |    ADDISON
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    State                |    TX
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    Zip                  |    75006
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    Country              |    US
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    Telephone            |    214-557-1074
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    Fax                  |    972-788-2334
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Provider Business Mailing Address
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    Address Line         |    2101 MIDWAY RD SUITE 140
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75006-4923
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    Country              |    US
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    Telephone            |    972-788-1735
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    Fax                  |    972-788-8017
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. EDWARD  SEDACCA 
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    Credential           |    
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    Telephone            |    972-788-1735
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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       |    
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    License Number State |    
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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       |    0108528
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    License Number State |    TX
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