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General NPI Number Information
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NPI Number | 1558580266
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Entity Type | Organization
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Legal Business Name | TOTAL MOBILITY INC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2644 DECATUR HWY
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City | KINGSTON
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State | TN
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Zip | 37763
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Country | US
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Telephone | 865-717-3997
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Fax | 865-717-6694
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Provider Business Mailing Address
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Address Line | 2644 DECATUR HWY
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City | KINGSTON
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State | TN
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Zip | 37763
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Country | US
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Telephone | 865-717-3997
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Fax | 865-717-6694
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT K MAXON
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Credential |
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Telephone | 865-717-3997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 00013787
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License Number State | TN
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