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NPI 1124171046

NPI 1124171046 : MILLER-MEIER LIMB AND BRACE, INC. : CLINTON, IA

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General NPI Number Information
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    NPI Number           |    1124171046
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    Entity Type          |    Organization 
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    Legal Business Name  |    MILLER-MEIER LIMB AND BRACE, INC. 
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Dates
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    Enumeration Date     |    01/22/2007
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    Last Update Date     |    04/16/2010
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Provider Practice Location Address
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    Address Line         |    240 N BLUFF BLVD STE 102 
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    City                 |    CLINTON
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    State                |    IA
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    Zip                  |    52732-7146
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    Country              |    US
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    Telephone            |    563-243-4772
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    Fax                  |    563-243-4782
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Provider Business Mailing Address
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    Address Line         |    240 N BLUFF BLVD STE 102 
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    City                 |    CLINTON
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    State                |    IA
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    Zip                  |    52732-7146
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    Country              |    US
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    Telephone            |    563-243-4772
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    Fax                  |    563-243-4782
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Authorized Official
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    Title or Position    |    CFO, VICE-PRESIDENT
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    Name                 |    MR. TIMOTHY E MILLER 
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    Credential           |    CPO
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    Telephone            |    563-243-4772
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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       |    
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    License Number State |    
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