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General NPI Number Information
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NPI Number | 1275477663
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Entity Type | Organization
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Legal Business Name | PERSONALIZED MOBILE MEDICAL LLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 1202 15TH ST
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City | ANACORTES
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State | WA
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Zip | 98221-2211
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Country | US
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Telephone | 775-250-6835
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Fax | 360-326-5299
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Provider Business Mailing Address
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Address Line | PO BOX 41
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City | ANACORTES
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State | WA
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Zip | 98221-0041
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Country | US
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Telephone | 775-250-6835
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Fax | 360-326-5299
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Authorized Official
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Title or Position | OWNER, OPERATOR
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Name | MS. SHARON BROWN
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Credential | ARNP
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Telephone | 775-250-6835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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