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NPI 1366356784

NPI 1366356784 : PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC : SEATTLE, WA

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General NPI Number Information
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    NPI Number           |    1366356784
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    Entity Type          |    Organization 
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    Legal Business Name  |    PREFERRED ORTHOTIC AND PROSTHETIC SERVICES INC 
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Dates
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    Enumeration Date     |    10/01/2026
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    Last Update Date     |    10/01/2026
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Provider Practice Location Address
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    Address Line         |    1229 MADISON ST STE 1460 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98104-4303
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    Country              |    US
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    Telephone            |    206-328-4276
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    Fax                  |    206-328-1037
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Provider Business Mailing Address
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    Address Line         |    911 MAIN ST STE 100 
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    City                 |    OREGON CITY
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    State                |    OR
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    Zip                  |    97045-1853
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    Country              |    US
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    Telephone            |    503-765-5081
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    Fax                  |    971-316-1553
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     TIMOTHY L O'NEILL 
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    Credential           |    
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    Telephone            |    503-407-5408
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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 |    NULL
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