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General NPI Number Information
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NPI Number | 1427830520
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Entity Type | Organization
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Legal Business Name | ORTHO DYNAMIC LIMBS CORPORATION
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 169 GRAND ST
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4804
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Country | US
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Telephone | 917-438-4214
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Fax | 917-438-4213
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Provider Business Mailing Address
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Address Line | 252 OLD MAMARONECK RD
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City | WHITE PLAINS
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State | NY
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Zip | 10605-3319
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Country | US
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Telephone | 914-772-2156
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Fax | 917-438-4213
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANCISCO EDUARDO MARTINEZ
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Credential | CPO
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Telephone | 914-772-2156
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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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