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NPI 1114082690

NPI 1114082690 : AMERICAN MOBILITY, INC : SARASOTA, FL

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General NPI Number Information
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    NPI Number           |    1114082690
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMERICAN MOBILITY, INC 
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Dates
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    Enumeration Date     |    12/26/2006
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    Last Update Date     |    02/09/2016
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Provider Practice Location Address
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    Address Line         |    4201 N WASHINGTON BLVD 
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    City                 |    SARASOTA
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    State                |    FL
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    Zip                  |    34234-4842
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    Country              |    US
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    Telephone            |    941-358-8482
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    Fax                  |    941-358-9277
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Provider Business Mailing Address
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    Address Line         |    4201 N WASHINGTON BLVD 
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    City                 |    SARASOTA
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    State                |    FL
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    Zip                  |    34234-4842
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    Country              |    US
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    Telephone            |    941-358-8482
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    Fax                  |    941-358-9277
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. JOHN L VATH JR.
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    Credential           |    
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    Telephone            |    941-358-8482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    1910
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    License Number State |    FL
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