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General NPI Number Information
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NPI Number | 1295814143
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Entity Type | Organization
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Legal Business Name | CENTRAL ORTHOTIC & PROSTHETIC CO INC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 09/23/2015
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Provider Practice Location Address
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Address Line | 3271 ROUTE 119 HWY S
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City | HOMER CITY
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State | PA
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Zip | 15748-6901
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Country | US
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Telephone | 724-479-2440
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Fax | 814-536-9047
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Provider Business Mailing Address
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Address Line | 725 FRANKLIN ST
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City | JOHNSTOWN
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State | PA
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Zip | 15901-2823
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Country | US
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Telephone | 814-535-8221
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Fax | 814-536-9047
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS C BEEN
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Credential |
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Telephone | 814-535-8221
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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 | PA
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