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NPI 1326295445

NPI 1326295445 : LIMBCARE PROSTHETICS AND ORTHOTICS OF GEORGIA INC : VALDOSTA, GA

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General NPI Number Information
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    NPI Number           |    1326295445
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    Entity Type          |    Organization 
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    Legal Business Name  |    LIMBCARE PROSTHETICS AND ORTHOTICS OF GEORGIA INC 
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Dates
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    Enumeration Date     |    08/20/2008
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    Last Update Date     |    03/02/2026
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Provider Practice Location Address
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    Address Line         |    2910 N ASHLEY ST STE K 
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    City                 |    VALDOSTA
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    State                |    GA
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    Zip                  |    31602-1759
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    Country              |    US
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    Telephone            |    229-247-7551
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    Fax                  |    229-247-7561
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Provider Business Mailing Address
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    Address Line         |    2910 N ASHLEY ST STE K 
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    City                 |    VALDOSTA
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    State                |    GA
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    Zip                  |    31602-1759
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    Country              |    US
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    Telephone            |    229-247-7551
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    Fax                  |    229-247-7561
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JOHN P RODMAN SR.
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    Credential           |    CPO
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    Telephone            |    229-430-9778
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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       |    CPO2284
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    License Number State |    GA
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