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General NPI Number Information
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NPI Number | 1265438857
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Entity Type | Organization
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Legal Business Name | VALLEY ORTHOPEDIC INC
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 11/06/2014
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Provider Practice Location Address
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Address Line | 3520 E SHIELDS AVE # 102
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City | FRESNO
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State | CA
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Zip | 93726-6909
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Country | US
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Telephone | 559-221-1933
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Fax | 559-221-0260
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Provider Business Mailing Address
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Address Line | 3520 E SHIELDS AVE # 102
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City | FRESNO
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State | CA
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Zip | 93726-6909
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Country | US
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Telephone | 559-221-1933
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Fax | 559-221-0260
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Authorized Official
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Title or Position | DIRECTOR OF REIMBURSEMENT
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Name | SHERYL S PRICE
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Credential |
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Telephone | 503-493-8288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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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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