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NPI 1790017937

NPI 1790017937 : UNITED SEATING AND MOBILITY LLC : REDMOND, OR

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General NPI Number Information
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    NPI Number           |    1790017937
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNITED SEATING AND MOBILITY LLC 
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Dates
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    Enumeration Date     |    02/12/2010
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    Last Update Date     |    03/21/2025
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Provider Practice Location Address
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    Address Line         |    646 SW UMATILLA AVE SUITE 1
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    City                 |    REDMOND
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    State                |    OR
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    Zip                  |    97756-7122
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    Country              |    US
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    Telephone            |    541-330-3934
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    Fax                  |    541-504-2145
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Provider Business Mailing Address
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    Address Line         |    805 BROOK ST STE 402 
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    City                 |    ROCKY HILL
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    State                |    CT
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    Zip                  |    06067-3431
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    Country              |    US
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    Telephone            |    314-447-7500
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SR LICENSING & CREDENTIALING MGR
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    Name                 |     SONIA  VILLESCAS 
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    Credential           |    
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    Telephone            |    314-447-7515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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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        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    019878-90
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    License Number State |    OR
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