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General NPI Number Information
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NPI Number | 1184689085
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Entity Type | Organization
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Legal Business Name | J&K ORTHOPEDICS INC
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 5405 ARROW HWY STE 100
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City | MONTCLAIR
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State | CA
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Zip | 91763-1664
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Country | US
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Telephone | 909-621-1180
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Fax | 909-625-7535
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Provider Business Mailing Address
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Address Line | 5405 ARROW HWY STE 100
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City | MONTCLAIR
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State | CA
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Zip | 91763-1664
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Country | US
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Telephone | 909-621-1180
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Fax | 909-625-7535
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LANCE RAY CLAWSON
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Credential | CPO
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Telephone | 909-621-1180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | CA
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Taxonomy #2
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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 | CA
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