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General NPI Number Information
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NPI Number | 1427036367
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Entity Type | Organization
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Legal Business Name | ALLEN ORTHOTICS & PROSTHETICS, INC.
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Dates
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Enumeration Date | 01/01/2006
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1921 E 37TH ST STE A
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City | ODESSA
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State | TX
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Zip | 79762-6209
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Country | US
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Telephone | 432-332-9821
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Fax | 432-683-6470
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Provider Business Mailing Address
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Address Line | 3001 W ILLINOIS AVE STE 7A
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City | MIDLAND
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State | TX
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Zip | 79701-3189
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Country | US
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Telephone | 432-683-3788
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Fax | 432-683-6470
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FERNANDO ESTRADA ORDAZ
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Credential | CPO/LPO
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Telephone | 432-683-3788
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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 | 101081
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License Number State | TX
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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 | 101421
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License Number State | TX
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Taxonomy #3
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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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