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General NPI Number Information
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NPI Number | 1144417072
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Entity Type | Organization
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Legal Business Name | ABLE II PROSTHETICS AND ORTHOTICS
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 506 1ST AVE SE
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City | WATERTOWN
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State | SD
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Zip | 57201-4402
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Country | US
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Telephone | 605-882-0432
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Fax | 605-882-0978
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Provider Business Mailing Address
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Address Line | PO BOX 22832
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City | LINCOLN
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State | NE
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Zip | 68542-2832
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Country | US
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Telephone | 402-483-8898
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Fax | 402-435-5504
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Authorized Official
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Title or Position | CPO
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Name | MARK A PIRO
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Credential |
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Telephone | 402-483-8898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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