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NPI 1427300706

NPI 1427300706 : REBOUND ORTHOTICS & PROSTHETICS, INC. : HUTCHINSON, MN

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General NPI Number Information
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    NPI Number           |    1427300706
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    Entity Type          |    Organization 
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    Legal Business Name  |    REBOUND ORTHOTICS & PROSTHETICS, INC. 
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Dates
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    Enumeration Date     |    10/10/2012
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    Last Update Date     |    08/08/2023
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Provider Practice Location Address
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    Address Line         |    1073 HIGHWAY 15 S PLAZA 15
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    City                 |    HUTCHINSON
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    State                |    MN
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    Zip                  |    55350-3153
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    Country              |    US
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    Telephone            |    320-587-4144
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    Fax                  |    320-587-4145
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Provider Business Mailing Address
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    Address Line         |    1073 HIGHWAY 15 S PLAZA 15
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    City                 |    HUTCHINSON
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    State                |    MN
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    Zip                  |    55350-3153
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    Country              |    US
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    Telephone            |    320-587-4144
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    Fax                  |    320-587-4145
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CHAD LYNN CHAPPUIS 
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    Credential           |    CO
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    Telephone            |    612-756-2222
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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 |    MN
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