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General NPI Number Information
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NPI Number | 1407945546
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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 | 10/12/2006
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Last Update Date | 05/09/2014
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Provider Practice Location Address
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Address Line | 123 S INDUSTRIAL DR SUITE 104
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City | ORANGE CITY
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State | FL
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Zip | 32763-7421
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Country | US
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Telephone | 386-775-2800
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Fax | 386-775-8999
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Provider Business Mailing Address
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Address Line | PO BOX 650846
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City | DALLAS
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State | TX
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Zip | 75265-0846
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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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 | HCC4460
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License Number State | FL
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