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General NPI Number Information
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NPI Number | 1356763742
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Entity Type | Organization
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Legal Business Name | ACHILLES PROSTHETICS AND ORTHOTICS, INC
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Dates
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Enumeration Date | 01/20/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 234 HEATHER CT SUITE 101
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City | TEMPLETON
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State | CA
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Zip | 93465-8765
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Country | US
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Telephone | 805-434-1600
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Fax | 805-434-1603
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Provider Business Mailing Address
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Address Line | 234 HEATHER CT SUITE 101
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City | TEMPLETON
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State | CA
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Zip | 93465-8765
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Country | US
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Telephone | 805-434-1600
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Fax | 805-434-1603
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL J NEWTON
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Credential | C.P., FAAOP
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Telephone | 805-434-1600
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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 | CPO1424
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License Number State | CA
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