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General NPI Number Information
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NPI Number | 1679185904
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Entity Type | Organization
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Legal Business Name | MOBILE MEDICAL HEALTHCARE, P.C.
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 685 3RD AVE FL 9
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City | NEW YORK
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State | NY
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Zip | 10017-4151
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Country | US
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Telephone | 844-443-6246
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Fax | 833-907-2235
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Provider Business Mailing Address
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Address Line | 685 3RD AVE FL 9
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City | NEW YORK
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State | NY
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Zip | 10017-4151
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Country | US
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Telephone | 844-443-6246
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Fax | 833-907-2235
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | ROBERT MBONYE
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Credential |
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Telephone | 585-278-0502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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