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General NPI Number Information
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NPI Number | 1902841679
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Entity Type | Organization
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Legal Business Name | NORTHSTAR MOBILITY & MEDICAL CO.
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11 MADISON ST ALEX SPERRY
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City | CAMBRIDGE
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State | MA
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Zip | 02138-2313
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Country | US
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Telephone | 617-669-2302
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Fax |
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Provider Business Mailing Address
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Address Line | 11 MADISON ST ALEX SPERRY
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City | CAMBRIDGE
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State | MA
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Zip | 02138-2313
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALEX SPERRY
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Credential | ALB
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Telephone | 617-669-2302
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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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