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General NPI Number Information
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NPI Number | 1962326652
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Entity Type | Organization
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Legal Business Name | MOBILITYCENTRIC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 1401 SEMINOLE DR
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City | RICHARDSON
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State | TX
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Zip | 75080-3738
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Country | US
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Telephone | 972-757-7928
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Fax | 817-622-8068
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Provider Business Mailing Address
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Address Line | 1401 SEMINOLE DR
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City | RICHARDSON
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State | TX
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Zip | 75080-3738
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Country | US
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Telephone | 972-757-7928
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Fax | 817-622-8068
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Authorized Official
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Title or Position | P.A./MEMBER/AUTHORIZED OFFICIAL
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Name | SHAWN SOMMERLAD
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Credential | P.A.
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Telephone | 972-757-7928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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