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NPI 1063413680

NPI 1063413680 : OAKLAND ORTHOPEDIC APPLIANCES INC : OWOSSO, MI

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General NPI Number Information
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    NPI Number           |    1063413680
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    Entity Type          |    Organization 
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    Legal Business Name  |    OAKLAND ORTHOPEDIC APPLIANCES INC 
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Dates
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    Enumeration Date     |    08/04/2005
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    Last Update Date     |    10/15/2025
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Provider Practice Location Address
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    Address Line         |    1350 E MAIN ST 
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    City                 |    OWOSSO
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    State                |    MI
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    Zip                  |    48867
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    Country              |    US
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    Telephone            |    989-720-6000
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    Fax                  |    989-720-4436
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Provider Business Mailing Address
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    Address Line         |    515 MULHOLLAND ST 
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    City                 |    BAY CITY
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    State                |    MI
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    Zip                  |    48708-7644
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    Country              |    US
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    Telephone            |    989-893-7544
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    Fax                  |    989-893-6944
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     JENNIFER L DRAVES 
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    Credential           |    
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    Telephone            |    989-893-7544
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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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