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NPI 1417277138

NPI 1417277138 : HI-TECH PROSTHETICS & ORTHOTICS,INC. : PARIS, TN

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General NPI Number Information
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    NPI Number           |    1417277138
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    Entity Type          |    Organization 
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    Legal Business Name  |    HI-TECH PROSTHETICS & ORTHOTICS,INC. 
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Dates
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    Enumeration Date     |    06/04/2010
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    Last Update Date     |    03/21/2023
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Provider Practice Location Address
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    Address Line         |    1027 MINERAL WELLS AVE SUITE 2B
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    City                 |    PARIS
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    State                |    TN
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    Zip                  |    38242
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    Country              |    US
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    Telephone            |    731-642-9984
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    Fax                  |    731-642-9986
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Provider Business Mailing Address
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    Address Line         |    266 S CLEVELAND ST STE 102 
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    City                 |    MEMPHIS
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    State                |    TN
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    Zip                  |    38104-3520
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    Country              |    US
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    Telephone            |    901-590-0354
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    Fax                  |    901-590-4319
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. RAMESH  DUBEY 
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    Credential           |    CPO
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    Telephone            |    731-642-9984
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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       |    ORTHOTIST -129
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    License Number State |    TN
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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       |    PROSTHETIST - 99
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    License Number State |    TN
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