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General NPI Number Information
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NPI Number | 1033272638
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Entity Type | Organization
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Legal Business Name | ORTHOTIC & PROSTHETIC ASSOCIATES INC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 1557 SPRING HILL AVE STE A
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City | MOBILE
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State | AL
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Zip | 36604-3218
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Country | US
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Telephone | 251-433-0400
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Fax | 251-433-9940
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Provider Business Mailing Address
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Address Line | 1557 SPRING HILL AVE STE A
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City | MOBILE
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State | AL
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Zip | 36604-3218
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Country | US
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Telephone | 251-433-0400
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Fax | 251-433-9940
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SELINA R GIBSON
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Credential |
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Telephone | 251-433-0400
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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 | 25
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License Number State | AL
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