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General NPI Number Information
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NPI Number | 1164426821
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Entity Type | Organization
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Legal Business Name | DREHER ORTHOPEDIC INDUSTRIES, INC.
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 214 CHICAGO AVE
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City | OAK PARK
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State | IL
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Zip | 60302-2310
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Country | US
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Telephone | 708-848-4646
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Fax | 708-848-1341
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Provider Business Mailing Address
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Address Line | 214 CHICAGO AVE
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City | OAK PARK
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State | IL
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Zip | 60302-2310
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Country | US
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Telephone | 708-848-4646
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Fax | 708-848-1341
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. PETER DREHER
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Credential | C.O.
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Telephone | 708-848-4646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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Taxonomy #3
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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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