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General NPI Number Information
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NPI Number | 1770826729
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Entity Type | Organization
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Legal Business Name | ADVANCED REHAB MOBILITY
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 43575 MISSION BLVD STE 322
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City | FREMONT
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State | CA
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Zip | 94539-5831
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Country | US
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Telephone | 510-856-6280
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Fax | 888-909-0159
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Provider Business Mailing Address
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Address Line | 43575 MISSION BLVD STE. 322
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City | FREMONT
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State | CA
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Zip | 94539-5831
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Country | US
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Telephone | 510-856-6280
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Fax | 888-909-0159
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICK MIRZA
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Credential |
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Telephone | 510-856-6280
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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 | CA
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