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General NPI Number Information
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NPI Number | 1073998654
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Entity Type | Organization
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Legal Business Name | O & P INNOVATIONS INC.
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 07/24/2015
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Provider Practice Location Address
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Address Line | 2137 S MINNESOTA AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57105
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Country | US
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Telephone | 605-274-0138
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Fax | 605-274-0139
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Provider Business Mailing Address
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Address Line | 2137 S MINNESOTA AVE
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City | SIOUX FALLS
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State | SD
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Zip | 57105
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Country | US
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Telephone | 605-274-0138
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Fax | 605-274-0139
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICHOLAS J KOLTERMAN
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Credential | BOCPD
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Telephone | 605-376-3508
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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 | C46868
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License Number State | SD
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