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General NPI Number Information
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NPI Number | 1023806627
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Entity Type | Organization
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Legal Business Name | OPEN BIONICS INC
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 332 S MICHIGAN AVE STE 900
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City | CHICAGO
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State | IL
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Zip | 60604-4393
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Country | US
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Telephone | 224-634-4734
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Fax | 720-640-0405
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Provider Business Mailing Address
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Address Line | 332 S MICHIGAN AVE STE 900
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City | CHICAGO
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State | IL
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Zip | 60604-4393
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Country | US
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Telephone | 224-634-4734
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Fax | 720-640-0405
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL OPERATIONS
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Name | ELISE GRISET
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Credential | CPO
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Telephone | 720-417-8698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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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 |
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License Number State |
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