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General NPI Number Information
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NPI Number | 1215035043
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Entity Type | Organization
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Legal Business Name | TETER ORTHOTICS & PROSTHETICS INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1415 KILBORN DR
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City | PETOSKEY
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State | MI
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Zip | 49770-9258
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Country | US
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Telephone | 231-347-5510
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Fax | 231-347-1309
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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 II
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Name | HEATHER PETERS
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Credential |
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Telephone | 859-594-2713
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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 |
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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 | MI
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