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General NPI Number Information
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NPI Number | 1639442122
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Entity Type | Organization
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Legal Business Name | EXPRESS MOBILITY SERVICES, INC.
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 7000 DREAMS WAY CT
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City | ALEXANDRIA
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State | VA
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Zip | 22315-4245
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Country | US
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Telephone | 703-346-8796
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Fax |
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Provider Business Mailing Address
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Address Line | 3220 N ST NW # 285
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City | WASHINGTON
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State | DC
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Zip | 20007-2829
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEBESSA DABA
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Credential |
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Telephone | 703-346-8796
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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 | 27502XXXX-71101640
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License Number State | DC
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