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General NPI Number Information
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NPI Number | 1235911389
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Entity Type | Organization
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Legal Business Name | BLACKFIN BIOMECHATRONICS LLC
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 2105 MAPLE DR
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City | LOVELAND
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State | CO
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Zip | 80538-3958
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Country | US
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Telephone | 970-440-3244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2
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City | LOVELAND
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State | CO
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Zip | 80539-0002
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Country | US
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Telephone | 970-440-3244
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CLINT D ACCINNI
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Credential | CPO
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Telephone | 720-272-1072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0900X
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Taxonomy Name | Amputee Clinic/Center
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License Number |
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License Number State |
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