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General NPI Number Information
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NPI Number | 1356390702
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Entity Type | Organization
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Legal Business Name | MOBILITY MEDICAL OF NORTH
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 2565 HALLS MILL RD UNIT F
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City | MOBILE
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State | AL
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Zip | 36606
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Country | US
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Telephone | 601-932-1001
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Fax | 601-932-2130
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Provider Business Mailing Address
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Address Line | 554 PARK LN STE B
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City | FLOWOOD
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State | MS
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Zip | 39232-8895
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Country | US
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Telephone | 601-932-1001
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Fax | 601-932-2130
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. DANYELLE CARROLL
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Credential |
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Telephone | 601-932-1001
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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 | 25882
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License Number State | MS
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