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General NPI Number Information
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NPI Number | 1144237256
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Entity Type | Organization
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Legal Business Name | SECURE MOBILITY, L.L.C.
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 52188 VAN DYKE AVE STE 305
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316
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Country | US
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Telephone | 586-855-9964
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Fax | 586-446-9749
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Provider Business Mailing Address
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Address Line | 37098 CAMELOT DR APT 4
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312
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Country | US
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Telephone | 586-855-9964
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Fax | 586-446-9749
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Authorized Official
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Title or Position | OWNER
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Name | MR. SEBASTIAN MIGDAL
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Credential |
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Telephone | 586-855-9964
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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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