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General NPI Number Information
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NPI Number | 1336145994
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Entity Type | Organization
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Legal Business Name | CAYUGA ORTHOTICS & PROSTHETICS, INC.
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1583 E MAIN ST
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City | ROCHESTER
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State | NY
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Zip | 14609-7008
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Country | US
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Telephone | 585-482-4558
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Fax | 585-482-7887
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Provider Business Mailing Address
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Address Line | 1583 E MAIN ST
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City | ROCHESTER
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State | NY
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Zip | 14609-7008
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Country | US
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Telephone | 585-482-4558
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Fax | 585-482-7887
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Authorized Official
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Title or Position | PRESIDENT CERT PROSTHETIST OWNER
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Name | MRS. CATHERINE M RYAN TRENCHARD
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Credential | CP
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Telephone | 585-482-4558
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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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