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General NPI Number Information
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NPI Number | 1518011469
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Entity Type | Organization
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Legal Business Name | MOBILITY ACCESS PROVIDERS, INC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 198 MOORE DR SUITE 104
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City | LEXINGTON
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State | KY
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Zip | 40503-2944
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Country | US
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Telephone | 859-277-0726
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Fax |
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Provider Business Mailing Address
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Address Line | 264 ARNOLD DR
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-6985
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Country | US
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Telephone | 502-957-1003
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHNNY MAC WELDON
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Credential |
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Telephone | 502-802-4890
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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 | 019486
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License Number State | KY
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