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General NPI Number Information
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NPI Number | 1255856118
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Entity Type | Organization
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Legal Business Name | ALL POWERED MOBILITY, LLC
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Dates
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Enumeration Date | 08/11/2017
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 1825 TAMIAMI TRL UNIT E3
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1047
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Country | US
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Telephone | 941-625-0103
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Fax | 855-711-4335
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Provider Business Mailing Address
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Address Line | 1825 TAMIAMI TRL UNIT E3
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1047
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Country | US
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Telephone | 941-625-0103
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Fax | 855-711-4335
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Authorized Official
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Title or Position | CEO
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Name | MR. BURTON CHALKLEY ROSS
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Credential |
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Telephone | 941-456-2362
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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 |
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