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NPI 1104568120

NPI 1104568120 : NATIONAL SEATING & MOBILITY, INC : LYNN HAVEN, FL

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General NPI Number Information
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    NPI Number           |    1104568120
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    Entity Type          |    Organization 
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    Legal Business Name  |    NATIONAL SEATING & MOBILITY, INC 
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Dates
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    Enumeration Date     |    04/11/2022
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    Last Update Date     |    04/11/2022
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Provider Practice Location Address
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    Address Line         |    1720 TENNESSEE AVE 
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    City                 |    LYNN HAVEN
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    State                |    FL
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    Zip                  |    32444-4221
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    Country              |    US
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    Telephone            |    850-250-1400
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    Fax                  |    850-583-2008
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Provider Business Mailing Address
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    Address Line         |    5959 SHALLOWFORD RD STE 443 
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    City                 |    CHATTANOOGA
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    State                |    TN
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    Zip                  |    37421-2245
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    Country              |    US
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    Telephone            |    423-756-2286
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CORPORATE SECRETARY
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    Name                 |     JEFFREY  MATUKEWICZ 
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    Credential           |    
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    Telephone            |    423-309-6858
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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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