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General NPI Number Information
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NPI Number | 1316970411
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Entity Type | Organization
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Legal Business Name | SYRACUSE ORTHOTICS, INC.
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 6701 MANLIUS CENTER RD
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-2999
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Country | US
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Telephone | 315-431-9400
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Fax | 315-431-9600
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Provider Business Mailing Address
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Address Line | 6701 MANLIUS CENTER RD
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City | EAST SYRACUSE
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State | NY
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Zip | 13057-2999
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Country | US
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Telephone | 315-431-9400
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Fax | 315-431-9600
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARRIE L STETHERS
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Credential |
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Telephone | 315-431-9400
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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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