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General NPI Number Information
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NPI Number | 1144556093
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL MOBILITY AND DME, INC
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 224 N MCCOLL RD
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City | MCALLEN
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State | TX
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Zip | 78501-9371
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Country | US
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Telephone | 956-682-6377
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Fax | 956-682-2586
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Provider Business Mailing Address
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Address Line | 224 N MCCOLL RD SUITE P
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City | MCALLEN
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State | TX
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Zip | 78501-9371
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Country | US
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Telephone | 956-682-6377
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Fax | 956-682-2586
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL MICHAEL HAUSBECK
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Credential |
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Telephone | 956-494-9036
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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 | TX
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | TX
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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 |
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License Number State | TX
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