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General NPI Number Information
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NPI Number | 1366521049
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Entity Type | Organization
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Legal Business Name | O&P RESEARCH LAB, INC.
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 6343 E MAIN ST STE B1
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City | MESA
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State | AZ
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Zip | 85205-8972
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Country | US
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Telephone | 480-981-7393
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Fax | 480-981-5807
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Provider Business Mailing Address
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Address Line | 6343 E MAIN ST STE B1
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City | MESA
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State | AZ
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Zip | 85205-8972
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Country | US
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Telephone | 480-981-7393
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Fax | 480-981-5807
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Authorized Official
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Title or Position | TREASURER
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Name | MRS. CONNIE S. FIKES
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Credential | RN
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Telephone | 480-981-7393
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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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