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General NPI Number Information
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NPI Number | 1194719328
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Entity Type | Organization
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Legal Business Name | NORTHERN PROSTHETICS & ORTHOPEDIC INC
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 05/14/2020
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Provider Practice Location Address
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Address Line | 2629 CHARLES ST
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City | ROCKFORD
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State | IL
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Zip | 61108-1608
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Country | US
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Telephone | 815-226-0444
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Fax | 815-226-1819
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Provider Business Mailing Address
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Address Line | 2629 CHARLES ST
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City | ROCKFORD
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State | IL
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Zip | 61108-1608
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Country | US
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Telephone | 815-226-0444
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Fax | 815-226-1819
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERICH HERBERT SCHULZE
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Credential | CPO, C.PED
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Telephone | 815-226-0444
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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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