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General NPI Number Information
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NPI Number | 1386090819
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Entity Type | Organization
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Legal Business Name | CHOICE PROSTHETICS AND ORTHOTICS, LLC
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 2445 ARMY NAVY DR STE 301
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City | ARLINGTON
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State | VA
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Zip | 22206-2988
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Country | US
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Telephone | 667-210-2149
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Fax | 667-210-2167
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Provider Business Mailing Address
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Address Line | 2445 ARMY NAVY DR STE 301
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City | ARLINGTON
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State | VA
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Zip | 22206-2988
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Country | US
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Telephone | 667-210-2149
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Fax | 667-210-2167
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | RONALD LONGO
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Credential | CP
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Telephone | 240-401-8063
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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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