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General NPI Number Information
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NPI Number | 1548264278
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Entity Type | Organization
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Legal Business Name | MRS MOBILITY MEDICAL INC
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 6318 US HIGHWAY 19
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2232
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Country | US
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Telephone | 727-847-0850
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Fax | 727-847-1512
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Provider Business Mailing Address
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Address Line | 6318 US HIGHWAY 19
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2232
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Country | US
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Telephone | 727-847-0850
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Fax | 727-847-1512
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. TIMOTHY PAPPERT
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Credential |
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Telephone | 727-847-0850
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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 | 1638
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License Number State | FL
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