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General NPI Number Information
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NPI Number | 1295916658
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Entity Type | Organization
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Legal Business Name | CSA MEDICAL & ORTHOPAEDIC EQUIP INC
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 4720 BOSTON WAY SUITE E
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City | LANHAM
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State | MD
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Zip | 20706-4310
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Country | US
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Telephone | 301-459-6801
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Fax | 301-459-6805
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Provider Business Mailing Address
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Address Line | PO BOX 9773
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City | ALEXANDRIA
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State | VA
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Zip | 22304
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Country | US
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Telephone | 301-459-6801
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Fax | 301-459-6805
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG LAMONT STEVENSON
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Credential |
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Telephone | 301-459-6801
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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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