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General NPI Number Information
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NPI Number | 1104955541
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Entity Type | Organization
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Legal Business Name | MAGIC MOBILITY INC.
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Dates
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Enumeration Date | 03/03/2007
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Last Update Date | 01/15/2008
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Provider Practice Location Address
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Address Line | 145 S CONGRESS AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4722
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Country | US
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Telephone | 561-243-2140
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Fax |
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Provider Business Mailing Address
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Address Line | 145 S CONGRESS AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4722
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Country | US
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Telephone | 561-243-2140
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Fax | 561-243-2150
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL DAMBRA
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Credential |
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Telephone | 561-243-2140
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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 | 1088
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License Number State | FL
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