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General NPI Number Information
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NPI Number | 1144411794
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Entity Type | Organization
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Legal Business Name | BIOSCULPTOR CORPORATION
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 08/08/2007
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Provider Practice Location Address
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Address Line | 2480 W 82ND ST UNIT 8
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City | HIALEAH
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State | FL
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Zip | 33016-2754
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Country | US
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Telephone | 305-823-8300
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Fax | 305-823-8304
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Provider Business Mailing Address
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Address Line | 2480 W 82ND ST UNIT 8
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City | HIALEAH
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State | FL
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Zip | 33016-2754
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Country | US
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Telephone | 305-823-8300
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Fax | 305-823-8304
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Authorized Official
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Title or Position | PRESIDENT/PRACTITIONER
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Name | MR. ALAN R. FINNIESTON
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Credential | CPO/LPO
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Telephone | 305-823-8300
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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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