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General NPI Number Information
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NPI Number | 1265428346
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Entity Type | Organization
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Legal Business Name | AMERICAN PROSTHETIC INSTITUTE
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2145 UNIVERSITY PARK DR SUITE 100
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City | OKEMOS
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State | MI
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Zip | 48864-3982
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Country | US
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Telephone | 517-349-3130
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Fax | 517-349-8887
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Provider Business Mailing Address
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Address Line | 2145 UNIVERSITY PARK DR SUITE 100
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City | OKEMOS
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State | MI
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Zip | 48864-3982
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Country | US
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Telephone | 517-349-3130
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Fax | 517-349-8887
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAN J. STOKOSA
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Credential | CP
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Telephone | 517-349-3130
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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 | P1109
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License Number State | MI
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