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NPI 1063728707

NPI 1063728707 : YAKIMA ORTHOTICS AND PROSTHETICS, PC : ELLENSBURG, WA

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General NPI Number Information
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    NPI Number           |    1063728707
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    Entity Type          |    Organization 
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    Legal Business Name  |    YAKIMA ORTHOTICS AND PROSTHETICS, PC 
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Dates
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    Enumeration Date     |    08/19/2010
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    Last Update Date     |    03/11/2026
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Provider Practice Location Address
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    Address Line         |    1206 N DOLARWAY RD SUITE 110
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    City                 |    ELLENSBURG
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    State                |    WA
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    Zip                  |    98926-8392
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    Country              |    US
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    Telephone            |    509-925-7700
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    Fax                  |    509-925-7707
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Provider Business Mailing Address
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    Address Line         |    313 S 9TH AVE 
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    City                 |    YAKIMA
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    State                |    WA
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    Zip                  |    98902-3516
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. ANDREW D LAMBERT 
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    Credential           |    CPO
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    Telephone            |    509-248-8040
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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       |    602349936
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    License Number State |    WA
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