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General NPI Number Information
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NPI Number | 1114632858
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Entity Type | Organization
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Legal Business Name | R AND J PROSTHETIC APPLIANCE CO. INC.
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 4517 MARKET ST STE 5
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City | VENTURA
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State | CA
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Zip | 93003-7841
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Country | US
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Telephone | 805-658-1822
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Fax | 805-658-1824
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Provider Business Mailing Address
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Address Line | 4517 MARKET ST SUITE 4
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City | VENTURA
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State | CA
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Zip | 93003-7841
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Country | US
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Telephone | 805-658-1822
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Fax | 805-658-1824
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. LOGAN M NEWTON
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Credential | CP, BOCO
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Telephone | 661-369-8903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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