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General NPI Number Information
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NPI Number | 1518951599
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Entity Type | Organization
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Legal Business Name | SOUTHERN MEDICAL & MOBILITY INC
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 1416 W I65 SERVICE RD S
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City | MOBILE
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State | AL
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Zip | 36693-5100
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Country | US
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Telephone | 251-633-4133
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Fax | 251-633-4575
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Provider Business Mailing Address
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Address Line | 1416 W I65 SERVICE RD S
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City | MOBILE
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State | AL
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Zip | 36693-5100
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Country | US
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Telephone | 251-633-4133
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Fax | 251-633-4575
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. HAROLD FREDERICK COMPTON JR.
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Credential |
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Telephone | 251-633-4133
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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 | 490041319
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License Number State | AL
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