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General NPI Number Information
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NPI Number | 1033461322
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Entity Type | Organization
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Legal Business Name | REBOUND ORTHOTICS & PROSTHETICS, INC.
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 300 CATLIN ST STE 104
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City | BUFFALO
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State | MN
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Zip | 55313-2035
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Country | US
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Telephone | 763-684-1010
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Fax | 763-684-2480
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Provider Business Mailing Address
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Address Line | 300 CATLIN ST STE 104
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City | BUFFALO
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State | MN
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Zip | 55313-2035
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Country | US
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Telephone | 763-684-1010
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Fax | 763-684-2480
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHAD LYNN CHAPPUIS
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Credential | C.O.
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Telephone | 612-756-2222
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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 | MN
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