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NPI 1780590646

NPI 1780590646 : VIDACARE MOBILITY LLC : WESTAMPTON, NJ

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General NPI Number Information
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    NPI Number           |    1780590646
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    Entity Type          |    Organization 
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    Legal Business Name  |    VIDACARE MOBILITY LLC 
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Dates
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    Enumeration Date     |    08/20/2026
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    Last Update Date     |    08/20/2026
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Provider Practice Location Address
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    Address Line         |    713 FELIX WAY 
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    City                 |    WESTAMPTON
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    State                |    NJ
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    Zip                  |    08060-5659
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    Country              |    US
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    Telephone            |    973-382-4037
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    713 FELIX WAY 
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    City                 |    WESTAMPTON
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    State                |    NJ
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    Zip                  |    08060-5659
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. CALVIN  NWOSU 
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    Credential           |    NWOSU
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    Telephone            |    973-382-4037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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