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General NPI Number Information
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NPI Number | 1104843838
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Entity Type | Organization
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Legal Business Name | VALLEY ORTHOPEDIC & PROSTHETICS INC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 2216 N 10TH ST
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City | MCALLEN
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State | TX
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Zip | 78501
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Country | US
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Telephone | 956-686-0032
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Fax | 956-686-1937
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Provider Business Mailing Address
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Address Line | PO BOX 331580
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City | CORPUS CHRISTI
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State | TX
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Zip | 78463
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Country | US
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Telephone | 361-888-7752
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Fax | 361-888-7424
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Authorized Official
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Title or Position | CORPORATE OFFICER SECRETARY TREASUR
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Name | MRS. ANGELA M SEARS
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Credential |
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Telephone | 361-888-7752
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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 | 000101
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License Number State | TX
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