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General NPI Number Information
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NPI Number | 1376628313
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Entity Type | Organization
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Legal Business Name | ADVANCED PROSTHETICS OF AMERICA, INC.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 777 37TH ST SUITE B106
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City | VERO BEACH
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State | FL
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Zip | 32960-4873
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Country | US
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Telephone | 800-330-8881
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Fax | 800-261-9537
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Provider Business Mailing Address
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Address Line | 2763 W. OLD US HWY 441
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City | MOUNT DORA
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State | FL
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Zip | 32757-3500
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Country | US
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Telephone | 800-330-8881
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Fax | 800-261-9537
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Authorized Official
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Title or Position | CEO
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Name | MR. ROD FRIEDLAND
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Credential |
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Telephone | 800-330-8881
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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 | HCC6495
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License Number State | FL
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