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General NPI Number Information
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NPI Number | 1497718225
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Entity Type | Organization
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Legal Business Name | VALLEY MOBILITY PLUS, INC.
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 04/03/2008
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Provider Practice Location Address
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Address Line | 4614 N EXPRESSWAY
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City | BROWNSVILLE
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State | TX
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Zip | 78526-4146
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Country | US
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Telephone | 956-350-6505
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Fax | 956-350-5595
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Provider Business Mailing Address
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Address Line | PO BOX 8577
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City | BROWNSVILLE
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State | TX
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Zip | 78526-8577
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Country | US
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Telephone | 956-350-6505
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Fax | 956-350-5595
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MILTON JAMES WHITE JR.
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Credential |
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Telephone | 956-350-6505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 101182
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 0040522
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License Number State | TX
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