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NPI 1235121021

NPI 1235121021 : FINDLAY AMERICAN PROSTHETIC ORTHOTIC CENTRE : FINDLAY, OH

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General NPI Number Information
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    NPI Number           |    1235121021
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    Entity Type          |    Organization 
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    Legal Business Name  |    FINDLAY AMERICAN PROSTHETIC ORTHOTIC CENTRE 
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Dates
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    Enumeration Date     |    08/17/2005
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    Last Update Date     |    10/30/2014
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Provider Practice Location Address
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    Address Line         |    12474 COUNTY ROAD 99 
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    City                 |    FINDLAY
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    State                |    OH
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    Zip                  |    45840-9736
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    Country              |    US
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    Telephone            |    419-424-1622
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    Fax                  |    419-424-5744
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Provider Business Mailing Address
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    Address Line         |    12474 COUNTY ROAD 99 
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    City                 |    FINDLAY
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    State                |    OH
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    Zip                  |    45840-9736
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    Country              |    US
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    Telephone            |    419-424-1622
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    Fax                  |    419-424-5744
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Authorized Official
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    Title or Position    |    OWNER/PRACTITIONER
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    Name                 |    MR. JEREMY N BERMAN 
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    Credential           |    CPO
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    Telephone            |    419-424-1622
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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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