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General NPI Number Information
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NPI Number | 1184858169
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Entity Type | Organization
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Legal Business Name | LIMBCARE PROSTHETICS AND ORTHOTICS OF GEORGIA INC
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 511 W FORSYTH ST SUITE A
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City | AMERICUS
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State | GA
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Zip | 31709-3465
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Country | US
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Telephone | 229-924-1620
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Fax | 229-924-1623
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Provider Business Mailing Address
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Address Line | 511 W FORSYTH ST SUITE A
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City | AMERICUS
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State | GA
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Zip | 31709-3465
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Country | US
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Telephone | 229-924-1620
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Fax | 229-924-1623
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. JOHN P RODMAN
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Credential | C.P.O.
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Telephone | 229-430-9778
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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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