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General NPI Number Information
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NPI Number | 1124478854
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Entity Type | Organization
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Legal Business Name | ANATOMICAL DESIGNS, INC.
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Dates
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Enumeration Date | 06/14/2016
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 8000 JERRY DOVE DRIVE SUITE 104
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City | BRIDGEPORT
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State | WV
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Zip | 26330-0000
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Country | US
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Telephone | 724-430-1470
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Fax | 724-430-1472
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Provider Business Mailing Address
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Address Line | 8000 JERRY DOVE DRIVE SUITE 104
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City | BRIDGEPORT
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State | WV
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Zip | 26330-0000
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Country | US
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Telephone | 724-430-1470
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Fax | 724-430-1472
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Authorized Official
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Title or Position | CEO
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Name | SHANDON HIME
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Credential | CPO
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Telephone | 724-430-1470
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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 | NO LICENSE REQUIRED
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License Number State |
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