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General NPI Number Information
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NPI Number | 1033487111
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Entity Type | Organization
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Legal Business Name | MAXCARE BIONICS INC.
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Dates
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Enumeration Date | 12/05/2011
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Last Update Date | 03/07/2013
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Provider Practice Location Address
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Address Line | 3159 E CENTER STREET EXT
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City | WARSAW
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State | IN
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Zip | 46582-3901
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Country | US
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Telephone | 574-267-5852
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Fax | 574-267-6239
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Provider Business Mailing Address
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Address Line | 3159 E CENTER STREET EXT
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City | WARSAW
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State | IN
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Zip | 46582-3901
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Country | US
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Telephone | 574-267-5852
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Fax | 574-267-6239
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILBUR A. HAINES
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Credential | CPO
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Telephone | 317-272-9993
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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 |
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