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General NPI Number Information
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NPI Number | 1801405295
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Entity Type | Organization
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Legal Business Name | MEDICINE MOBILITY LLC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 320 STORKE RD STE 101
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City | GOLETA
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State | CA
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Zip | 93117-2992
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Country | US
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Telephone | 805-204-4882
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Fax |
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Provider Business Mailing Address
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Address Line | 320 STORKE RD STE 101
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City | GOLETA
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State | CA
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Zip | 93117-2992
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Country | US
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Telephone | 805-204-4882
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CONOR OBRIEN
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Credential |
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Telephone | 209-712-8011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZG1000X
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Taxonomy Name | Medical Geneticist (PhD) Specialist/Technologist
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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 | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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