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General NPI Number Information
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NPI Number | 1457654311
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Entity Type | Organization
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Legal Business Name | MOBILEXPRESS LLC
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Dates
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Enumeration Date | 12/15/2010
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 1215 RAILROAD AVE
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City | CLOVIS
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State | CA
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Zip | 93612-2706
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Country | US
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Telephone | 559-681-2318
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Fax | 559-323-1271
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Provider Business Mailing Address
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Address Line | 1215 RAILROAD AVE
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City | CLOVIS
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State | CA
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Zip | 93612-2706
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Country | US
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Telephone | 559-681-2318
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Fax | 559-323-1271
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | WADE MCKEE
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Credential |
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Telephone | 559-681-2318
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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 |
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License Number State |
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