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General NPI Number Information
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NPI Number | 1326812777
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Entity Type | Organization
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Legal Business Name | MOBICLINIX LLC
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 1999 OLD HIGHWAY 141
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City | BRONSON
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State | IA
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Zip | 51007-8069
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Country | US
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Telephone | 888-315-3845
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Fax | 712-248-8720
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Provider Business Mailing Address
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Address Line | PO BOX 104
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City | SERGEANT BLUFF
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State | IA
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Zip | 51054-0104
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Country | US
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Telephone | 712-454-0648
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Fax | 712-248-8720
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | STEPHANIE DAWN AMICK
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Credential |
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Telephone | 712-454-0648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number |
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License Number State |
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