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General NPI Number Information
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NPI Number | 1710363486
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Entity Type | Organization
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Legal Business Name | MOTILITY MLK, LLC
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 120 HILL ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-6238
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Country | US
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Telephone | 501-620-4800
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Fax | 848-272-8975
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Provider Business Mailing Address
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Address Line | PO BOX 1966
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City | HOT SPRINGS
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State | AR
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Zip | 71902-1966
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Country | US
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Telephone | 501-620-4800
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Fax | 848-272-8975
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Authorized Official
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Title or Position | OWNER AND MANAGER
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Name | RITA MARIE KENNEY
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Credential |
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Telephone | 501-620-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | CP2198
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License Number State | AR
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Taxonomy #2
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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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