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General NPI Number Information
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NPI Number | 1851261374
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Entity Type | Organization
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Legal Business Name | ABUNDANT LIVING MOBILITY SOLUTIONS LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 105 HALMAR CV STE 150
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City | GEORGETOWN
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State | TX
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Zip | 78628-2326
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Country | US
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Telephone | 512-883-2133
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Fax |
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Provider Business Mailing Address
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Address Line | 105 HALMAR CV STE 150
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City | GEORGETOWN
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State | TX
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Zip | 78628-2326
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Country | US
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Telephone | 512-883-2133
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. MATT CHRISTOPHER GROFF
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Credential |
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Telephone | 512-663-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 |
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License Number State |
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