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General NPI Number Information
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NPI Number | 1326171505
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Entity Type | Organization
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Legal Business Name | REDSTONE ORTHOTICS, INC.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 450 INVERNESS CORNERS
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City | BIRMINGHAM
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State | AL
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Zip | 35242
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Country | US
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Telephone | 205-991-3338
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Fax | 205-991-8338
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Provider Business Mailing Address
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Address Line | 450 INVERNESS CORNERS
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City | BIRMINGHAM
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State | AL
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Zip | 35242
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Country | US
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Telephone | 205-991-3338
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Fax | 205-991-8338
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Authorized Official
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Title or Position | PRESIDENT/CERTIFIED PEDORTHIST
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Name | MR. J. HARRISON HARRISON MOSS SR.
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Credential | C.PED.
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Telephone | 205-991-3338
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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 | AL
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