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General NPI Number Information
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NPI Number | 1417876699
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Entity Type | Organization
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Legal Business Name | OTTO BOCK PATIENT CARE, LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 10508 PARK RD STE 130
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City | CHARLOTTE
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State | NC
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Zip | 28210-8526
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Country | US
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Telephone | 980-203-5301
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 737155
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City | DALLAS
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State | TX
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Zip | 75373-7155
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | PALLAVI CHINTAPALLI NEMANI
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Credential |
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Telephone | 512-552-6311
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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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