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General NPI Number Information
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NPI Number | 1508120080
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Entity Type | Organization
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Legal Business Name | CENTRAL MEDICAL & MOBILITY
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 19801 S MAIN ST UNIT 5
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City | CORNELIUS
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State | NC
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Zip | 28031-8821
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Country | US
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Telephone | 800-427-9686
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2640
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City | CORNELIUS
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State | NC
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Zip | 28031-2640
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Country | US
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Telephone | 800-427-9686
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | REBECCA MULLINS
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Credential |
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Telephone | 800-427-9686
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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 | 01968
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License Number State | NC
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