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1427397496 NPI number — ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C

NPI Number: 1427397496
Health Care Provider/Practitioner: ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C

Information about “1427397496” NPI (ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C) exists in 1427397496 in HTML format HTML  |  1427397496 in plain Text format TXT  |  1427397496 in PDF (Portable Document Format) PDF  |  1427397496 in an XML format XML  formats.

NPI Number : 1427397496 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427397496",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "BULOW BIOTECH PROSTHETICS, LLC",
    "ParentOrgTIN": null,
    "OrgName": "ORTHOTIC PROSTHETIC SOLUTIONS, L.L.C",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1015 ROBERTSON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT COLLINS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80524-3926",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-481-6481",
    "MailingAddressFaxNumber": "970-419-8870",
    "FirstLinePracticeLocationAddress": "1601 E 19TH AVE STE 5200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENVER",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80218-1254",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "303-831-5997",
    "PracticeLocationAddressFaxNumber": "303-831-6295",
    "EnumerationDate": "02/11/2013",
    "LastUpdateDate": "10/12/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KRATOHVIL",
    "AuthorizedOfficialFirstName": "AARON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CONTROLLER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "615-550-8760",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "335E00000X",
        "TaxonomyName": "Prosthetic/Orthotic Supplier",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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