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General NPI Number Information
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NPI Number | 1568097459
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Entity Type | Organization
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Legal Business Name | MOBILE MEDICAL TECHNICIANS LLC
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 2329 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48208-1205
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Country | US
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Telephone | 313-657-4610
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Fax |
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Provider Business Mailing Address
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Address Line | 2329 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48208-1205
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Country | US
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Telephone | 313-657-4610
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Fax |
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MARKEA JENKINS
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Credential |
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Telephone | 313-657-4610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2472E0500X
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Taxonomy Name | EEG Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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