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General NPI Number Information
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NPI Number | 1356320428
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Entity Type | Organization
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Legal Business Name | ALABAMA PROSTHETICS AND ORTHOTICS, INC.
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 1441 NARROW LANE PKWY
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City | MONTGOMERY
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State | AL
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Zip | 36111-2654
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Country | US
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Telephone | 334-286-9919
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Fax | 334-286-9621
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Provider Business Mailing Address
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Address Line | PO BOX 250048
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City | MONTGOMERY
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State | AL
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Zip | 36125-0048
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Country | US
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Telephone | 334-286-9919
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Fax | 334-286-9621
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARY THERESE POWERS-WATTS
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Credential | CPO, CPED
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Telephone | 334-286-9919
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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 | 44
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License Number State | AL
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