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General NPI Number Information
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NPI Number | 1194896993
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Entity Type | Organization
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Legal Business Name | PISANI'S ORTHOTICS AND PROSTHETICS, INC.
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/02/2013
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Provider Practice Location Address
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Address Line | 3208 2ND AVE N SUITE 5
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City | PALM SPRINGS
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State | FL
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Zip | 33461-3682
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Country | US
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Telephone | 561-433-1556
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Fax | 561-433-5298
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Provider Business Mailing Address
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Address Line | 3208 2ND AVE N SUITE 5
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City | PALM SPRINGS
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State | FL
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Zip | 33461-3682
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Country | US
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Telephone | 561-433-1556
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Fax | 561-433-5298
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANTHONY M PISANI
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Credential | LOP
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Telephone | 561-433-1556
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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 | POR 106
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License Number State | FL
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