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General NPI Number Information
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NPI Number | 1851261960
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Entity Type | Organization
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Legal Business Name | RELATYV MOBILE MEDICAL LLC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 2107 LITTLE APPLEGATE RD
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City | JACKSONVILLE
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State | OR
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Zip | 97530-9188
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Country | US
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Telephone | 866-914-1070
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Fax | 800-852-6567
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Provider Business Mailing Address
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Address Line | 4140 E BASELINE RD STE 101 STE 101
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City | MESA
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State | AZ
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Zip | 85206-4413
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Country | US
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Telephone | 830-832-9703
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Fax | 877-285-0470
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Authorized Official
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Title or Position | CONTRACTING
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Name | JANICE A COMPTON
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Credential |
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Telephone | 830-832-9703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other 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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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