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NPI 1194620260

NPI 1194620260 : NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC : STAMFORD, CT

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General NPI Number Information
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    NPI Number           |    1194620260
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC 
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Dates
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    Enumeration Date     |    10/09/2026
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    Last Update Date     |    10/09/2026
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Provider Practice Location Address
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    Address Line         |    78 HARVARD AVE STE 240 
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    City                 |    STAMFORD
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    State                |    CT
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    Zip                  |    06902-5548
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    Country              |    US
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    Telephone            |    203-961-8118
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    Fax                  |    203-961-8338
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Provider Business Mailing Address
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    Address Line         |    PO BOX 650846 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75265-0846
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    REGULATORY COMPLIANCE ANALYST III
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    Name                 |     JENNIFER L SIMMONS 
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    Credential           |    
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    Telephone            |    206-414-2907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    NULL
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Taxonomy #2
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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 |    NULL
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