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General NPI Number Information
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NPI Number | 1255664165
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Entity Type | Organization
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Legal Business Name | NEVADA ORTHOTICS & PROSTHETICS, INC
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 3435 W CHEYENNE AVE SUITE 102
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-8206
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Country | US
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Telephone | 702-233-5500
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Fax | 702-233-2131
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Provider Business Mailing Address
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Address Line | 3435 W CHEYENNE AVE SUITE 102
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-8206
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Country | US
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Telephone | 702-233-5500
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Fax | 702-233-2131
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | PETRA THIESSEN
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Credential | CFM
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Telephone | 702-233-5500
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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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