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NPI 1427054386

NPI 1427054386 : ATLANTA PROSTHETICS & ORTHOTICS, INC. : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1427054386
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    Entity Type          |    Organization 
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    Legal Business Name  |    ATLANTA PROSTHETICS & ORTHOTICS, INC. 
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Dates
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    Enumeration Date     |    06/24/2005
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    Last Update Date     |    02/19/2014
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Provider Practice Location Address
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    Address Line         |    59 EXECUTIVE PARK S SUITE 1300
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30329-2208
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    Country              |    US
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    Telephone            |    404-636-0321
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    Fax                  |    404-636-7259
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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            |    404-618-0451
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    Fax                  |    404-636-8884
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Authorized Official
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    Title or Position    |    DIRECTOR OF REIMBURSEMENT
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    Name                 |    MR. SHERYL S PRICE 
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    Credential           |    
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    Telephone            |    503-493-8288
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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       |    
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    License Number State |    
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