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General NPI Number Information
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NPI Number | 1063607752
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Entity Type | Organization
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Legal Business Name | OCEAN ORTHOPEDIC SERVICES, INC.
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 08/06/2020
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Provider Practice Location Address
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Address Line | 333 SCHOOL ST STE 203
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City | PAWTUCKET
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State | RI
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Zip | 02860-5336
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Country | US
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Telephone | 401-725-5240
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Fax | 401-725-1520
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Provider Business Mailing Address
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Address Line | 126 PRESIDENT AVE
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City | FALL RIVER
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State | MA
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Zip | 02720-2649
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Country | US
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Telephone | 508-672-6887
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Fax | 401-725-1520
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Authorized Official
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Title or Position | OFFICE MGR.
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Name | MRS. ELIZABETH R. KELLEHER
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Credential |
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Telephone | 508-583-8870
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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 | 335E00000X
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License Number State | RI
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