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General NPI Number Information
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NPI Number | 1215231840
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Entity Type | Organization
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Legal Business Name | HI TECH PROSTHETICS INC
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Dates
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Enumeration Date | 12/22/2010
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | HC 3 BOX 25720
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City | SAN GERMAN
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State | PR
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Zip | 00683-9353
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Country | US
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Telephone | 787-264-4805
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Fax | 787-882-9045
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Provider Business Mailing Address
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Address Line | HC 3 BOX 25720
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City | SAN GERMAN
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State | PR
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Zip | 00683-9353
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Country | US
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Telephone | 787-264-4805
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Fax | 787-882-9045
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Authorized Official
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Title or Position | PROSTHETIST
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Name | MR. FRANK UCROS
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Credential | CP
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Telephone | 787-891-4805
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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 | CP003218
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License Number State | DE
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