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General NPI Number Information
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NPI Number | 1285735274
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Entity Type | Organization
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Legal Business Name | RESEDA PROSTHETICS, INC.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 21122 NORDHOFF ST STE E
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City | CHATSWORTH
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State | CA
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Zip | 91311-6965
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Country | US
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Telephone | 818-993-5441
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Fax | 818-993-4311
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Provider Business Mailing Address
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Address Line | 18441 BRYANT ST
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City | NORTHRIDGE
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State | CA
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Zip | 91325-3309
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Country | US
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Telephone | 818-993-5441
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Fax | 818-993-4311
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ARACELI JAMISON
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Credential |
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Telephone | 818-993-5441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 13-760743
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License Number State | CA
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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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