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General NPI Number Information
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NPI Number | 1508922576
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Entity Type | Organization
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Legal Business Name | MOBILITY STYLES INC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 09/02/2011
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Provider Practice Location Address
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Address Line | 9300 CORTEZ BLVD
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City | WEEKI WACHEE
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State | FL
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Zip | 34613-6339
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Country | US
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Telephone | 352-597-4546
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Fax | 352-592-6461
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Provider Business Mailing Address
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Address Line | 19105 HERITAGE HARBOR PKWY
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City | LUTZ
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State | FL
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Zip | 33558-9707
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Country | US
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Telephone | 813-377-6607
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Fax | 352-592-6461
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. EDWARD FARES NAKHOUL
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Credential |
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Telephone | 813-377-6607
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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 | 1597
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License Number State | FL
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