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NPI 1265502637

NPI 1265502637 : HANGER PROSTHETICS & ORTHOTICS INC : HUNTINGTON, WV

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General NPI Number Information
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    NPI Number           |    1265502637
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    Entity Type          |    Organization 
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    Legal Business Name  |    HANGER PROSTHETICS & ORTHOTICS INC 
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Dates
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    Enumeration Date     |    11/09/2006
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    Last Update Date     |    12/18/2017
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Provider Practice Location Address
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    Address Line         |    5170 US ROUTE 60 STE 3600 
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    City                 |    HUNTINGTON
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    State                |    WV
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    Zip                  |    25705-2004
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    Country              |    US
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    Telephone            |    304-733-4781
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    Fax                  |    304-697-0235
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Provider Business Mailing Address
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    Address Line         |    PO BOX 650846 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75265-0846
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    Country              |    US
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    Telephone            |    304-733-4781
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    Fax                  |    304-697-0235
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Authorized Official
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    Title or Position    |    REG COMPLIANCE SPECIALIST III
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    Name                 |     GRACE  ANGELINE 
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    Credential           |    
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    Telephone            |    714-961-2102
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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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