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General NPI Number Information
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NPI Number | 1417590126
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Entity Type | Organization
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Legal Business Name | MEDIMOBILE LLC
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 737 2ND AVE
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City | TROY
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State | NY
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Zip | 12182-2204
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Country | US
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Telephone | 518-683-4455
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Fax | 518-514-1177
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Provider Business Mailing Address
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Address Line | 737 2ND AVE
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City | TROY
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State | NY
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Zip | 12182-2204
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Country | US
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Telephone | 518-683-4455
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Fax | 518-514-1177
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL KARAM
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Credential |
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Telephone | 518-683-4455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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