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General NPI Number Information
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NPI Number | 1255424990
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Entity Type | Organization
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Legal Business Name | GULF COAST MOBILITY,INC.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 1750 J & C BLVD STE.#10
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City | NAPLES
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State | FL
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Zip | 34109
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Country | US
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Telephone | 239-591-8990
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Fax | 239-591-4980
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Provider Business Mailing Address
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Address Line | 1750 J & C BLVD STE.#10
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City | NAPLES
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State | FL
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Zip | 34109
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Country | US
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Telephone | 239-591-8990
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Fax | 239-591-4980
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUTHR LANE
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Credential |
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Telephone | 239-591-8990
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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 | 922490
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License Number State | FL
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