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General NPI Number Information
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NPI Number | 1659548345
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Entity Type | Organization
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Legal Business Name | INDEPENDENT MOBILITY
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 03/22/2010
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Provider Practice Location Address
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Address Line | 3121 S US HIGHWAY 281
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City | EDINBURG
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State | TX
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Zip | 78539-9696
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Country | US
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Telephone | 956-383-9333
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Fax | 956-383-9334
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Provider Business Mailing Address
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Address Line | 3121 S US HIGHWAY 281
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City | EDINBURG
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State | TX
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Zip | 78539-9696
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Country | US
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Telephone | 956-383-9333
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Fax | 956-383-9334
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Authorized Official
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Title or Position | OWNER
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Name | BELINDA GORENA FLORES I
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Credential |
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Telephone | 956-383-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | TX
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