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General NPI Number Information
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NPI Number | 1154961456
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Entity Type | Organization
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Legal Business Name | H5 PROSTHETICS AND ORTHOTICS LLC
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 7410 JOHN SMITH DR STE 213
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6000
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Country | US
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Telephone | 210-481-4473
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Fax | 210-481-4479
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Provider Business Mailing Address
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Address Line | 7410 JOHN SMITH DR STE 213
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6000
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Country | US
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Telephone | 210-481-4473
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Fax | 210-481-4479
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Authorized Official
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Title or Position | OWNER / CEO
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Name | MR. STEVEN GOMEZ HERRERA SR.
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Credential | LPO, BOCPO
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Telephone | 210-481-4473
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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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