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General NPI Number Information
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NPI Number | 1003946195
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Entity Type | Organization
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Legal Business Name | MEDICAL ART PROSTHETICS, LLC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7818 BIG SKY DR STE 111
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City | MADISON
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State | WI
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Zip | 53719-4983
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Country | US
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Telephone | 608-833-7002
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Fax | 608-893-6404
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Provider Business Mailing Address
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Address Line | 7818 BIG SKY DR STE 111
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City | MADISON
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State | WI
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Zip | 53719-4983
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Country | US
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Telephone | 608-833-7002
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Fax | 608-893-6404
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Authorized Official
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Title or Position | ANAPLASTOLOGIST/PROSTHETIST/OWNER
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Name | MR. GREGORY G GION
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Credential | CCA, BOCP
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Telephone | 608-833-7002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 229N00000X
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Taxonomy Name | Anaplastologist
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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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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