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General NPI Number Information
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NPI Number | 1063146447
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Entity Type | Organization
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Legal Business Name | DYNAMIC BY DESIGN PROSTHETICS, PLLC
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 5373 W ALABAMA ST STE 204
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City | HOUSTON
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State | TX
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Zip | 77056-5923
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Country | US
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Telephone | 832-899-4268
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Fax | 877-559-1081
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Provider Business Mailing Address
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Address Line | 5373 W ALABAMA ST STE 576
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City | HOUSTON
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State | TX
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Zip | 77056-5923
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Country | US
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Telephone | 832-899-4268
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Fax | 877-559-1081
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Authorized Official
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Title or Position | LICENSED PROSTHETIST ORTHOTIST
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Name | TATIANA RYPINSKI
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Credential | LPO
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Telephone | 240-441-8513
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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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Taxonomy #2
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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