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General NPI Number Information
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NPI Number | 1992814131
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Entity Type | Organization
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Legal Business Name | R & R MOBILITY CONVERSIONS, INC.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 S MARION RD
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City | SIOUX FALLS
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State | SD
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Zip | 57106-0230
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Country | US
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Telephone | 605-335-8646
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Fax | 605-334-3235
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Provider Business Mailing Address
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Address Line | 400 S MARION RD
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City | SIOUX FALLS
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State | SD
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Zip | 57106-0230
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Country | US
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Telephone | 605-335-8646
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Fax | 605-334-3235
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROGER RAYMOND MOFLE
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Credential |
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Telephone | 605-335-8646
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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 | 51001000054218TST001
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License Number State | SD
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