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General NPI Number Information
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NPI Number | 1174009740
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Entity Type | Organization
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Legal Business Name | MOBILE ME LLC
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 7325 OSWEGO RD
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City | LIVERPOOL
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State | NY
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Zip | 13090-3717
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Country | US
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Telephone | 315-530-7533
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Fax |
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Provider Business Mailing Address
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Address Line | 7325 OSWEGO RD
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City | LIVERPOOL
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State | NY
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Zip | 13090-3717
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Country | US
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Telephone | 315-530-7533
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | MISS SAMANTHA M FORD
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Credential |
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Telephone | 315-530-7533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number | 04762227
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License Number State | NY
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