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NPI Code Detail

MEDICARE: 3-D NICHOLS & CO. INC.

MEDICARE: 3-D NICHOLS & CO. INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier40040MA

General Provider Information

NPI Number : 1689909632
Entity Type Code : Organization
Provider Name (Legal Business Name) : 3-D NICHOLS & CO. INC.
Provider Business Mailing Address
First Line : 80 E WASHINGTON ST
Second Line :
City : NORTH ATTLEBORO
State : MA
Zip : 02760-2314
Country : US
Telephone Number : 508-695-0021
Fax Number : 508-809-6329
Provider Business Practice Location Address
First Line : 80 E WASHINGTON ST
Second Line :
City : NORTH ATTLEBORO
State : MA
Zip : 02760-2314
Country : US
Telephone Number : 508-695-0021
Fax Number : 508-809-6329
Authorized Official
Title or Position : OWNER
Name : MRS. KAREN A WEEKS
Credential :
Telephone Number : 508-958-7901
Provider Enumeration Date : 10/08/2009
Last Update Date : 10/08/2009

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