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General NPI Number Information
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NPI Number | 1083937734
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Entity Type | Organization
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Legal Business Name | BIODESIGNS, INC
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 02/16/2018
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Provider Practice Location Address
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Address Line | 850 HAMPSHIRE ROAD SUITE S
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361
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Country | US
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Telephone | 800-775-2870
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Fax | 800-775-2870
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Provider Business Mailing Address
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Address Line | 850 HAMPSHIRE ROAD SUITE S
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361
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Country | US
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Telephone | 800-775-2870
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Fax | 800-775-2870
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Authorized Official
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Title or Position | LEAD PROSTHETIST/CEO
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Name | MR. RANDALL D. ALLEY
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Credential | CP
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Telephone | 310-291-4543
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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 | 1654
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License Number State | CA
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