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NPI 1154594349

NPI 1154594349 : VALLEY ORTHOPEDIC INC : VISALIA, CA

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General NPI Number Information
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    NPI Number           |    1154594349
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    Entity Type          |    Organization 
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    Legal Business Name  |    VALLEY ORTHOPEDIC INC 
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Dates
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    Enumeration Date     |    04/08/2008
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    Last Update Date     |    11/06/2014
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Provider Practice Location Address
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    Address Line         |    5603 W HILLSDALE AVE 
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    City                 |    VISALIA
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    State                |    CA
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    Zip                  |    93291-5136
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    Country              |    US
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    Telephone            |    559-733-7976
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    Fax                  |    559-733-3836
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Provider Business Mailing Address
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    Address Line         |    5603 W HILLSDALE AVE 
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    City                 |    VISALIA
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    State                |    CA
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    Zip                  |    93291-5136
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    Country              |    US
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    Telephone            |    559-733-7976
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    Fax                  |    559-733-3836
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Authorized Official
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    Title or Position    |    DIRECTOR OF REIMBURSEMENT
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    Name                 |     SHERYL  PRICE 
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    Credential           |    
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    Telephone            |    503-493-8288
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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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Taxonomy #2
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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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