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NPI 1427074632

NPI 1427074632 : QUALITY MOBILITY SALES : BARTLESVILLE, OK

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General NPI Number Information
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    NPI Number           |    1427074632
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUALITY MOBILITY SALES 
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Dates
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    Enumeration Date     |    07/14/2006
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    Last Update Date     |    02/22/2008
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Provider Practice Location Address
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    Address Line         |    137 SE WASHINGTON BLVD 
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    City                 |    BARTLESVILLE
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    State                |    OK
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    Zip                  |    74006-2334
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    Country              |    US
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    Telephone            |    918-333-9040
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    137 SE WASHINGTON BLVD 
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    City                 |    BARTLESVILLE
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    State                |    OK
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    Zip                  |    74006-2334
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    Country              |    US
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    Telephone            |    918-333-9040
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     STEVE P RISNER 
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    Credential           |    
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    Telephone            |    918-333-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    867753
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    License Number State |    OK
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