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General NPI Number Information
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NPI Number | 1013952415
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Entity Type | Organization
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Legal Business Name | DE LA TORRE ORTHOTICS & PROSTHETICS
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 200 CEDAR RIDGE DR SUITE 205
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City | PITTSBURGH
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State | PA
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Zip | 15205-9691
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Country | US
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Telephone | 412-921-3004
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Fax | 412-921-3005
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Provider Business Mailing Address
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Address Line | 300 ALPHA DR
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City | PITTSBURGH
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State | PA
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Zip | 15238-2908
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Country | US
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Telephone | 412-599-1138
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Fax | 412-599-1155
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANN LEIMKUEHLER MOSS
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Credential |
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Telephone | 412-325-2650
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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 | NA
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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 | NA
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License Number State |
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Taxonomy #3
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | NA
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License Number State |
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