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General NPI Number Information
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NPI Number | 1275868440
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Entity Type | Organization
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Legal Business Name | A-Z ORTHOPEDIC SHOES INC
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Dates
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Enumeration Date | 10/06/2009
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 11525 METROPOLITAN AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-1001
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Country | US
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Telephone | 347-962-0162
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Fax |
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Provider Business Mailing Address
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Address Line | 6259 108TH ST APT 7H
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City | FOREST HILLS
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State | NY
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Zip | 11375-1314
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Country | US
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Telephone | 347-962-0162
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Fax |
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Authorized Official
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Title or Position | CERTIFIED THERAPEUTIC SHOE FITTER
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Name | NATELA ABRAMOV
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Credential |
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Telephone | 347-962-0162
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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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