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General NPI Number Information
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NPI Number | 1316085020
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Entity Type | Organization
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Legal Business Name | CAROLINA MOBILITY & SEATING, INC.
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 317 S WESTGATE DR STE M
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City | GREENSBORO
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State | NC
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Zip | 27407-1633
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Country | US
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Telephone | 336-808-1261
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Fax | 336-808-1262
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Provider Business Mailing Address
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Address Line | 317 S WESTGATE DR STE M
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City | GREENSBORO
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State | NC
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Zip | 27407-1633
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Country | US
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Telephone | 336-808-1261
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Fax | 336-808-1262
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MELICK B ELLIOTT
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Credential |
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Telephone | 919-303-0902
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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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