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General NPI Number Information
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NPI Number | 1376652305
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Entity Type | Organization
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Legal Business Name | HEARTLAND ORTHOPEDIC SERVICES INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1967 DEKALB AVE
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City | SYCAMORE
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State | IL
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Zip | 60178-3107
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Country | US
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Telephone | 815-754-9900
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Fax | 815-754-2040
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Provider Business Mailing Address
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Address Line | 1967 DEKALB AVE
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City | SYCAMORE
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State | IL
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Zip | 60178-3107
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Country | US
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Telephone | 815-754-9900
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Fax | 815-754-2040
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KAREN H CIESLAK
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Credential | CP LPO FAAOP
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Telephone | 815-754-9900
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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 | IL
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Taxonomy #2
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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 | IL
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