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General NPI Number Information
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NPI Number | 1477877934
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Entity Type | Organization
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Legal Business Name | UNITED SEATING AND MOBILITY LLC
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1270 E FAIRVIEW AVE STE 150
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City | MERIDIAN
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State | ID
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Zip | 83642-1846
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Country | US
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Telephone | 208-288-5460
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Fax | 208-288-2844
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Provider Business Mailing Address
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Address Line | 805 BROOK ST STE 402
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City | ROCKY HILL
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State | CT
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Zip | 06067-3431
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Country | US
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Telephone | 314-447-7515
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Fax | 855-375-7973
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Authorized Official
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Title or Position | SR LICENSING & CREDENTIALING MGR
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Name | SONIA LEE VILLESCAS
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Credential |
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Telephone | 314-447-7515
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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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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 003668305
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License Number State | ID
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