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General NPI Number Information
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NPI Number | 1275539876
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Entity Type | Organization
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Legal Business Name | MANUEL GARCIA PROSTHETICS LAB INC
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 8180 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-1634
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Country | US
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Telephone | 440-243-1085
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Fax | 440-243-2543
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Provider Business Mailing Address
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Address Line | 8180 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-1634
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Country | US
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Telephone | 440-243-1085
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Fax | 440-243-2543
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MANUEL R GARCIA
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Credential | CPO, LPO
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Telephone | 440-243-1085
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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 | 528467
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License Number State | OH
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