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General NPI Number Information
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NPI Number | 1245385210
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Entity Type | Organization
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Legal Business Name | MD MEDICAL AND MOBILITY PRODUCTS
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 4749 FOLSOM BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95819-4425
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Country | US
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Telephone | 916-453-1324
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Fax | 916-453-0952
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Provider Business Mailing Address
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Address Line | PO BOX 160325
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City | SACRAMENTO
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State | CA
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Zip | 95816-0325
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Country | US
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Telephone | 916-453-1324
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Fax | 916-453-0952
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Authorized Official
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Title or Position | V.P.
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Name | MR. CHARLES J. DOWDY
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Credential |
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Telephone | 916-453-1324
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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 | DME0223G
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License Number State | CA
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