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General NPI Number Information
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NPI Number | 1578644563
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Entity Type | Organization
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Legal Business Name | MOBILITY CENTER LLC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12826 US HIGHWAY 19 SUITE B
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City | HUDSON
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State | FL
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Zip | 34667-1992
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Country | US
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Telephone | 727-861-2900
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Fax | 727-861-2677
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Provider Business Mailing Address
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Address Line | 12826 US HIGHWAY 19 SUITE B
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City | HUDSON
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State | FL
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Zip | 34667-1992
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Country | US
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Telephone | 727-861-2900
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Fax | 727-861-2677
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEIL MYERSCOUGH
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Credential |
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Telephone | 727-861-2900
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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 | 1312785
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License Number State | FL
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