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General NPI Number Information
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NPI Number | 1295109122
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Entity Type | Organization
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Legal Business Name | MOBILITY EXPRESS PLUS LLC
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 10550 SENTINEL ST
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City | SAN ANTONIO
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State | TX
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Zip | 78217-3822
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Country | US
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Telephone | 210-233-8069
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Fax | 210-233-8160
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Provider Business Mailing Address
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Address Line | 2313 LOCKHILL SELMA RD 141
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City | SAN ANTONIO
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State | TX
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Zip | 78230-3007
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Country | US
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Telephone | 210-445-3054
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. STEPHEN K BALSINGER
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Credential |
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Telephone | 210-445-3054
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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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