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General NPI Number Information
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NPI Number | 1053593178
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Entity Type | Organization
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Legal Business Name | NEU PROSTHETICS AND ORTHOTICS SERVICES, LLC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 01/21/2011
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Provider Practice Location Address
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Address Line | 325 S SANDUSKY ST SUITE 213
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City | DELAWARE
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State | OH
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Zip | 43015-2680
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Country | US
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Telephone | 740-369-5347
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Fax | 740-369-0099
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Provider Business Mailing Address
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Address Line | 325 S SANDUSKY ST SUITE 213
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City | DELAWARE
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State | OH
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Zip | 43015-2680
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Country | US
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Telephone | 740-369-5347
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Fax | 740-369-0099
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM C NEU III
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Credential | CPO,LPO
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Telephone | 740-369-5347
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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 | LPO 80
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License Number State | OH
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