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General NPI Number Information
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NPI Number | 1265895452
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Entity Type | Organization
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Legal Business Name | ULTRAFLEX SYSTEMS, INC.
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 2929 ALLEN PKWY SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77019-7100
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Country | US
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Telephone | 800-220-6670
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Fax |
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Provider Business Mailing Address
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Address Line | 237 SOUTH ST SUITE 200
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City | POTTSTOWN
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State | PA
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Zip | 19464-5984
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Country | US
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Telephone | 800-220-6670
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK DEHARDE
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Credential |
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Telephone | 610-906-1410
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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 | 6000004052
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License Number State | PA
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