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NPI 1053575431

NPI 1053575431 : GENERAL ORTHOPEDIC INC : ALBANY, NY

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General NPI Number Information
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    NPI Number           |    1053575431
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    Entity Type          |    Organization 
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    Legal Business Name  |    GENERAL ORTHOPEDIC INC 
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Dates
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    Enumeration Date     |    07/15/2008
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    Last Update Date     |    08/19/2008
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Provider Practice Location Address
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    Address Line         |    1659 CENTRAL AVE SUITE 113
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    City                 |    ALBANY
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    State                |    NY
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    Zip                  |    12205-4039
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    Country              |    US
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    Telephone            |    518-869-0021
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    Fax                  |    518-464-9160
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Provider Business Mailing Address
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    Address Line         |    1659 CENTRAL AVE SUITE 113
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    City                 |    ALBANY
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    State                |    NY
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    Zip                  |    12205-4039
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    Country              |    US
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    Telephone            |    518-869-0021
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    Fax                  |    518-464-9160
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ARTHUR  SMUCKLER 
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    Credential           |    C-PED
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    Telephone            |    518-869-0021
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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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