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General NPI Number Information
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NPI Number | 1942456074
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Entity Type | Organization
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Legal Business Name | ACCESS MOBILITY EQUIPMENT, LLC
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 10816 TIDEWATER TRL UNIT 966
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-2047
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Country | US
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Telephone | 540-288-4905
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Fax | 540-446-2844
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Provider Business Mailing Address
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Address Line | PO BOX 141
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City | THORNBURG
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State | VA
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Zip | 22565-0141
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Country | US
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Telephone | 540-288-4905
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Fax | 540-446-2844
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. JAMES R CLORE JR.
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Credential | ATP
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Telephone | 540-288-4905
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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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