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General NPI Number Information
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NPI Number | 1790755742
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Entity Type | Organization
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Legal Business Name | UNITED SEATING AND MOBILITY
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 2030 N HIGHWAY 360
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City | GRAND PRAIRIE
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State | TX
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Zip | 75050-1423
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Country | US
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Telephone | 817-377-2225
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Fax | 817-377-2250
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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 | 314-447-7830
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Authorized Official
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Title or Position | CREDENTIALING AND LICENSURE MANAGER
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Name | WALTER JOHNSON
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 07088917
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License Number State | TX
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