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General NPI Number Information
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NPI Number | 1831836741
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Entity Type | Organization
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Legal Business Name | MOBLEY EXPRESS LLC
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 2643 WEBB ST
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City | DETROIT
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State | MI
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Zip | 48206-1401
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Country | US
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Telephone | 313-403-5508
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Fax |
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Provider Business Mailing Address
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Address Line | 20908 HAWTHORNE ST
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City | HARPER WOODS
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State | MI
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Zip | 48225-1166
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Country | US
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Telephone | 313-680-6993
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARNETTA WILLIAMS
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Credential |
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Telephone | 313-680-6993
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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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