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General NPI Number Information
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NPI Number | 1295262814
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Entity Type | Organization
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Legal Business Name | ATLAS ORTHOPEDIC PRODUCTS LLC
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 13785 RESEARCH BLVD STE 125
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City | AUSTIN
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State | TX
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Zip | 78750
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Country | US
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Telephone | 512-655-2149
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Fax | 866-306-6006
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Provider Business Mailing Address
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Address Line | 13785 RESEARCH BLVD STE 125
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City | AUSTIN
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State | TX
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Zip | 78750
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Country | US
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Telephone | 512-655-2149
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Fax | 866-306-6006
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW PATOCKI
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Credential |
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Telephone | 512-900-6470
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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 | 116337
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License Number State | TX
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