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NPI 1619367950

NPI 1619367950 : ALLMOBILITY, LLC. : DAYTON, OH

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General NPI Number Information
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    NPI Number           |    1619367950
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLMOBILITY, LLC. 
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Dates
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    Enumeration Date     |    01/26/2015
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    Last Update Date     |    01/26/2015
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Provider Practice Location Address
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    Address Line         |    1703 WYOMING ST 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45410-2517
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    Country              |    US
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    Telephone            |    937-396-4838
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    804 HODAPP AVE 
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    City                 |    DAYTON
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    State                |    OH
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    Zip                  |    45410-2905
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    Country              |    US
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    Telephone            |    937-396-4838
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. JEFFREY R KELLY 
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    Credential           |    
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    Telephone            |    937-396-4838
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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       |    
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    License Number State |    
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