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General NPI Number Information
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NPI Number | 1912050717
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Entity Type | Organization
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Legal Business Name | ELECTRIC MOBILITY CORPORATION
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8000 NW 31ST ST SUITE 4
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City | DORAL
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State | FL
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Zip | 33122-1061
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Country | US
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Telephone | 305-717-9974
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Fax | 305-717-3455
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Provider Business Mailing Address
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Address Line | 591 MANTUA BLVD P.O. BOX 156
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City | SEWELL
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State | NJ
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Zip | 08080-1016
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Country | US
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Telephone | 856-468-1000
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Fax | 856-415-1796
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT OF FINANCE
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Name | MR. ART REA JR.
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Credential |
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Telephone | 856-468-1000
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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 | 1312980
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License Number State | FL
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