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NPI 1992513246

NPI 1992513246 : MUNDI TRAVEL THERAPY AND STAFFING LLC : GILBERT, AZ

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General NPI Number Information
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    NPI Number           |    1992513246
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    Entity Type          |    Organization 
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    Legal Business Name  |    MUNDI TRAVEL THERAPY AND STAFFING LLC 
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Dates
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    Enumeration Date     |    12/19/2024
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    Last Update Date     |    12/19/2024
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Provider Practice Location Address
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    Address Line         |    2207 E TAHITIAN WAY 
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85234-2867
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    Country              |    US
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    Telephone            |    516-581-0838
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2207 E TAHITIAN WAY 
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    City                 |    GILBERT
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    State                |    AZ
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    Zip                  |    85234-2867
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    Country              |    US
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    Telephone            |    516-581-0838
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    Fax                  |    516-581-0838
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |     JOHN  IMUNDI 
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    Credential           |    PT
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    Telephone            |    516-581-0838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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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        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    227800000X
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    Taxonomy Name        |    Certified Respiratory Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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