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General NPI Number Information
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NPI Number | 1568567873
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Entity Type | Organization
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Legal Business Name | ELECTRIC MOBILITY CORPORATION
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 591 MANTUA BLVD
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City | SEWELL
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State | NJ
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Zip | 08080-1016
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Country | US
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Telephone | 856-539-3019
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Fax | 856-539-3061
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Provider Business Mailing Address
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Address Line | 2600 N 44TH ST SUITE 106
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City | PHOENIX
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State | AZ
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Zip | 85008-1521
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Country | US
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Telephone | 602-955-7722
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Fax | 602-955-7050
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Authorized Official
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Title or Position | AR SUPERVISOR
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Name | MRS. BRYN M ERACE
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Credential |
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Telephone | 856-539-3019
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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 | 5001899
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License Number State | NJ
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