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General NPI Number Information
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NPI Number | 1770519274
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Entity Type | Organization
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Legal Business Name | WEST VALLEY MOBILITY CENTER, LLC
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 5820 W GREENWAY RD SUITE 101
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City | GLENDALE
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State | AZ
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Zip | 85306-3307
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Country | US
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Telephone | 602-547-1842
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Fax | 602-547-8424
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Provider Business Mailing Address
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Address Line | 5820 W GREENWAY RD SUITE 101
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City | GLENDALE
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State | AZ
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Zip | 85306-3307
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Country | US
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Telephone | 602-547-1842
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Fax | 602-547-8424
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. JOHN W LAYMAN
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Credential |
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Telephone | 602-547-1842
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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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