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General NPI Number Information
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NPI Number | 1447668447
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Entity Type | Organization
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Legal Business Name | MOBILITY MARKETPLACE, LLC
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 625 E 11TH AVE
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City | COLUMBUS
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State | OH
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Zip | 43211-2607
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Country | US
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Telephone | 614-486-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 625 E 11TH AVE
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City | COLUMBUS
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State | OH
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Zip | 43211-2607
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Country | US
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Telephone | 614-486-8100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GERARD P SCHLEMBACH
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Credential |
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Telephone | 614-554-5857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1102X
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Taxonomy Name | Military Outpatient Operational (Transportable) Component Clinic/Center
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License Number |
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License Number State | OH
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