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General NPI Number Information
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NPI Number | 1487719506
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Entity Type | Organization
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Legal Business Name | MOBILIY RX MEDICAL SUPPLIES LLC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 15116 LEE RD 519
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City | HUMBLE
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State | TX
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Zip | 77396-2097
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Country | US
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Telephone | 281-540-5800
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Fax | 281-540-5800
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Provider Business Mailing Address
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Address Line | 15116 LEE RD 519
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City | HUMBLE
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State | TX
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Zip | 77396-2097
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Country | US
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Telephone | 281-540-5800
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Fax | 281-540-5800
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Authorized Official
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Title or Position | OWNER
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Name | IRENE PERRY
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Credential |
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Telephone | 281-540-5800
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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 | 0092949
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License Number State | TX
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