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General NPI Number Information
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NPI Number | 1154942811
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Entity Type | Organization
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Legal Business Name | SACVANS MOBILITY, INC.
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 5821 FLORIN PERKINS RD STE 1
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City | SACRAMENTO
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State | CA
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Zip | 95828-1032
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Country | US
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Telephone | 916-381-8267
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Fax | 916-381-1946
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Provider Business Mailing Address
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Address Line | 5821 FLORIN PERKINS RD STE 1
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City | SACRAMENTO
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State | CA
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Zip | 95828-1032
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Country | US
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Telephone | 916-381-8267
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Fax | 916-381-1946
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Authorized Official
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Title or Position | OFFICE MANAGER/BOOKKEEPER
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Name | DEBRA DALY
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Credential |
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Telephone | 916-381-8267
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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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Taxonomy #2
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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 |
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