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General NPI Number Information
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NPI Number | 1326012873
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Entity Type | Organization
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Legal Business Name | MOBILE HEALTH CARE, INC
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 4511 N JOHNSON RD
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-7675
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Country | US
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Telephone | 219-872-7799
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Fax | 219-872-8060
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Provider Business Mailing Address
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Address Line | 4511 N JOHNSON RD
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-7675
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Country | US
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Telephone | 219-872-7799
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Fax | 219-872-8060
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Authorized Official
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Title or Position | OWNER
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Name | MR. CARL F. WIPPERMAN
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Credential | RT
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Telephone | 219-872-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number | XF200506
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License Number State | IN
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