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NPI 1154396794

NPI 1154396794 : CAPE PROSTHETICS-ORTHOTICS INC : BRIDGETON, MO

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General NPI Number Information
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    NPI Number           |    1154396794
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAPE PROSTHETICS-ORTHOTICS INC 
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Dates
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    Enumeration Date     |    02/17/2006
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    Last Update Date     |    10/20/2025
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Provider Practice Location Address
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    Address Line         |    3436A MCKELVEY RD 
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    City                 |    BRIDGETON
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    State                |    MO
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    Zip                  |    63044-2525
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    Country              |    US
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    Telephone            |    314-231-1156
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    Fax                  |    314-436-1493
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Provider Business Mailing Address
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    Address Line         |    4714 GETTYSBURG RD 
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    City                 |    MECHANICSBURG
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    State                |    PA
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    Zip                  |    17055-4325
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF LEGAL OFFICER
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    Name                 |     JOHN  DUGGAN 
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    Credential           |    
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    Telephone            |    717-972-1100
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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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