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General NPI Number Information
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NPI Number | 1417749011
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Entity Type | Organization
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Legal Business Name | AUREA CRANIAL PROSTHETICS L.L.C.
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 1741 W MARKET ST # 18
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City | AKRON
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State | OH
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Zip | 44313-7001
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Country | US
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Telephone | 330-524-6602
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Fax | 330-524-6602
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Provider Business Mailing Address
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Address Line | 1741 W MARKET ST LOFT 18
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City | AKRON
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State | OH
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Zip | 44313-7001
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Country | US
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Telephone | 330-524-6602
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Fax | 330-524-6602
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Authorized Official
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Title or Position | OWNER
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Name | KANDYS THOMAS
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Credential | PROTHESIS SUPPLIER
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Telephone | 330-524-6602
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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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