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General NPI Number Information
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NPI Number | 1891633160
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Entity Type | Organization
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Legal Business Name | BLUEBAY MOBILITY INC.
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 3002 DOW AVE STE 312
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City | TUSTIN
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State | CA
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Zip | 92780-7234
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Country | US
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Telephone | 949-910-7080
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Fax | 949-522-3276
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Provider Business Mailing Address
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Address Line | 3002 DOW AVE STE 312
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City | TUSTIN
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State | CA
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Zip | 92780-7234
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Country | US
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Telephone | 949-910-7080
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Fax | 949-522-3276
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | GHASSAN A EL-TAWIL
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Credential |
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Telephone | 949-522-7680
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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