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General NPI Number Information
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NPI Number | 1316216393
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Entity Type | Organization
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Legal Business Name | METRO PROSTHETICS, INC.
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Dates
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Enumeration Date | 12/21/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4320 FITCH AVE
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City | NOTTINGHAM
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State | MD
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Zip | 21236-3716
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Country | US
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Telephone | 410-870-0365
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Fax | 410-870-0494
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Provider Business Mailing Address
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Address Line | 7438 ANNAPOLIS RD
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City | LANDOVER HILLS
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State | MD
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Zip | 20784-2314
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Country | US
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Telephone | 301-459-0999
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Fax | 301-731-4308
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PETER GOLLER
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Credential | CP
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Telephone | 301-459-0999
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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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