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General NPI Number Information
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NPI Number | 1346265212
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Entity Type | Organization
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Legal Business Name | ACADEMY ORTHOTIC & PROSTHETIC ASSOCIATES IPA
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 09/11/2019
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Provider Practice Location Address
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Address Line | 450 WESTMINSTER ROAD
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City | BROOKLYN
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State | NY
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Zip | 11218
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Country | US
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Telephone | 908-686-3521
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Fax | 908-686-3575
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Provider Business Mailing Address
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Address Line | 2810 MORRIS AVENUE, SUITE #206
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City | UNION
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State | NJ
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Zip | 07083
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Country | US
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Telephone | 908-686-3521
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Fax | 908-686-3575
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ISAAC STEIN
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Credential |
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Telephone | 908-686-3521
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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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