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General NPI Number Information
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NPI Number | 1285598656
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Entity Type | Organization
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Legal Business Name | LE POSTICHE, LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 5645 N PENNSYLVANIA AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-7769
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Country | US
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Telephone | 405-849-5779
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Fax |
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Provider Business Mailing Address
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Address Line | 13109 BOX CANYON RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73142-6203
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Country | US
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Telephone | 918-344-8843
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW MARYADI
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Credential |
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Telephone | 918-344-8843
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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 |
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License Number State |
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