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General NPI Number Information
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NPI Number | 1144329756
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Entity Type | Organization
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Legal Business Name | U-CAN-GO MOBILITY LTD
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 107 MAXWELL HILL RD
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City | MORGANTOWN
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State | PA
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Zip | 19543-9419
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Country | US
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Telephone | 610-286-9840
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Fax | 610-913-0540
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Provider Business Mailing Address
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Address Line | 107 MAXWELL HILL RD
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City | MORGANTOWN
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State | PA
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Zip | 19543-9419
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Country | US
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Telephone | 610-286-9840
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Fax | 610-913-0540
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Authorized Official
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Title or Position | OWNER
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Name | MR. ELVIN L KURTZ
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Credential |
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Telephone | 610-286-9840
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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 | 6000005648
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License Number State | PA
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