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General NPI Number Information
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NPI Number | 1427151448
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC TREATMENT FACILITY, INC.
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 69-14 QUEENS BLVD
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City | WOODSIDE
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State | NY
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Zip | 11377-4462
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Country | US
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Telephone | 718-898-7326
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Fax | 718-898-2160
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Provider Business Mailing Address
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Address Line | 6914 QUEENS BLVD
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City | WOODSIDE
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State | NY
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Zip | 11377-4462
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Country | US
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Telephone | 718-898-7326
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Fax | 718-898-2160
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Authorized Official
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Title or Position | PRESIDENT
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Name | GARY MARANO
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Credential | C.P.O.
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Telephone | 718-898-7326
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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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