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General NPI Number Information
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NPI Number | 1184445587
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Entity Type | Organization
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Legal Business Name | TREASURE COAST PROSTHETIC AND ORTHOTIC SERVICES INC
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1405 VALENTINE ST
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City | MELBOURNE
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State | FL
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Zip | 32901-3129
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Country | US
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Telephone | 772-567-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 1645 20TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-3565
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Country | US
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Telephone | 772-567-5200
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Fax | 772-567-0160
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL W WERNER
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Credential | CPO
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Telephone | 772-567-5200
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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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