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General NPI Number Information
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NPI Number | 1619644077
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Entity Type | Organization
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Legal Business Name | ABLETEC SEATING & MOBILITY, LLC
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 165 BEN BURTON RD STE B
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City | BOGART
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State | GA
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Zip | 30622-6852
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Country | US
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Telephone | 770-905-4456
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Fax |
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Provider Business Mailing Address
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Address Line | 165 BEN BURTON RD STE B
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City | BOGART
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State | GA
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Zip | 30622-6852
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Country | US
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Telephone | 770-905-4456
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JOSHUA BAILEY BRYANT
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Credential |
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Telephone | 770-905-4456
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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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