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General NPI Number Information
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NPI Number | 1134171606
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Entity Type | Organization
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Legal Business Name | TEXAS ARTIFICIAL LIMBS LAB INC
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 512 W HICKORY ST STE 112
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City | DENTON
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State | TX
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Zip | 76201-9074
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Country | US
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Telephone | 945-295-0056
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Fax | 949-209-4424
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Provider Business Mailing Address
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Address Line | 512 W HICKORY ST STE 112
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City | DENTON
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State | TX
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Zip | 76201-9074
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Country | US
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Telephone | 945-295-0056
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Fax | 949-209-4424
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Authorized Official
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Title or Position | OWNER
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Name | MR. TEMOER TERRY
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Credential |
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Telephone | 888-464-9015
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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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