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General NPI Number Information
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NPI Number | 1295529626
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Entity Type | Organization
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Legal Business Name | MCNEILL PROSTHETICS LAB LLC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 600 BEACON PKWY W # 102
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City | BIRMINGHAM
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State | AL
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Zip | 35209-3120
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Country | US
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Telephone | 706-201-5501
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Fax |
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Provider Business Mailing Address
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Address Line | 2141 15TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-3919
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Country | US
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Telephone | 706-201-5501
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. JOSHUA MCNEILL
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Credential | CP
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Telephone | 706-201-5501
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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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