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General NPI Number Information
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NPI Number | 1205059615
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Entity Type | Organization
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Legal Business Name | MESSER ORTHOPEDICS LLC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 4955 E BELTLINE AVE NE SUITE C
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-1097
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Country | US
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Telephone | 616-447-9000
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Fax | 616-447-9001
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Provider Business Mailing Address
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Address Line | 4955 E BELTLINE DR NE SUITE C
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-1097
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Country | US
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Telephone | 616-447-9000
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Fax | 616-447-9001
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Authorized Official
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Title or Position | MANAGER
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Name | MR. BILL J MESSER
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Credential | CO
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Telephone | 616-447-9000
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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 | CO003326
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License Number State |
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