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General NPI Number Information
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NPI Number | 1477479939
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Entity Type | Organization
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Legal Business Name | MOBILITY LAB
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Dates
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Enumeration Date | 06/27/2026
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Last Update Date | 06/27/2026
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Provider Practice Location Address
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Address Line | 1050 CONNECTICUT AVE NW STE 500
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City | WASHINGTON
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State | DC
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Zip | 20036-5304
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Country | US
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Telephone | 202-734-1157
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Fax |
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Provider Business Mailing Address
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Address Line | 750 KENILWORTH TER NE APT 619
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City | WASHINGTON
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State | DC
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Zip | 20019-1520
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Country | US
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Telephone | 202-734-1157
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | MR. KEITH JAMIL HUGHES
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Credential | LMT
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Telephone | 202-734-1157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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