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General NPI Number Information
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NPI Number | 1336324086
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Entity Type | Organization
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Legal Business Name | KONRAD PROSTHETICS AND ORTHOTICS, INC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 03/29/2009
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Provider Practice Location Address
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Address Line | 475 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4135
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Country | US
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Telephone | 516-292-1180
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Fax |
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Provider Business Mailing Address
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Address Line | 475 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550-4135
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Country | US
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Telephone | 516-292-1180
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Fax |
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | KURT KONRAD
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Credential |
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Telephone | 516-485-9164
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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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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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