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General NPI Number Information
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NPI Number | 1194095307
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Entity Type | Organization
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Legal Business Name | ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C.
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 7100 BROADWAY STE 2E
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City | DENVER
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State | CO
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Zip | 80221-2918
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Country | US
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Telephone | 303-316-2615
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Fax | 303-331-9019
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Provider Business Mailing Address
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Address Line | 1015 ROBERTSON ST
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City | FORT COLLINS
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State | CO
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Zip | 80524-3926
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Country | US
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Telephone | 970-484-8388
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Fax | 970-419-8870
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Authorized Official
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Title or Position | CONTROLLER
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Name | AARON KRATOHVIL
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Credential |
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Telephone | 615-550-8760
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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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