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General NPI Number Information
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NPI Number | 1003058595
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Entity Type | Organization
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Legal Business Name | PROSTHETIC CONSULTING TECHNOLOGIES LLC
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 12/03/2014
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Provider Practice Location Address
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Address Line | 220 US HIGHWAY 395 N SUITE 303
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City | CARSON CITY
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State | NV
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Zip | 89704-9582
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Country | US
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Telephone | 775-849-0958
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Fax | 775-849-2566
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Provider Business Mailing Address
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Address Line | 220 US HIGHWAY 395 N SUITE 303
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City | CARSON CITY
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State | NV
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Zip | 89704-9582
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Country | US
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Telephone | 775-849-0958
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Fax | 775-849-2566
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MR. RICHARD L RILEY
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Credential | CP
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Telephone | 775-830-1783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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