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General NPI Number Information
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NPI Number | 1417595372
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Entity Type | Organization
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Legal Business Name | SOUTHEASTERN SEATING AND MOBILITY CONSULTING LLC
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 13420 REESE BLVD W
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7925
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Country | US
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Telephone | 704-659-2194
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Fax |
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Provider Business Mailing Address
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Address Line | 14936 BROWN MILL RD STE 1
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7465
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Country | US
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Telephone | 704-258-7343
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHAD FILER
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Credential |
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Telephone | 704-258-7343
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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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