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General NPI Number Information
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NPI Number | 1114163037
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Entity Type | Organization
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Legal Business Name | MOBILITY LIFT SYSTEMS, LLC
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Dates
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Enumeration Date | 12/23/2008
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 2722 E NETTLETON AVE P.O. BOX
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City | JONESBORO
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State | AR
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Zip | 72401-4529
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Country | US
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Telephone | 870-910-5438
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5032 2722 E. NETTLETON AVENUE
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City | JONESBORO
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State | AR
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Zip | 72403-5032
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Country | US
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Telephone | 870-910-5438
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL FLOYD HOOVER
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Credential |
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Telephone | 870-910-5438
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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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