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General NPI Number Information
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NPI Number | 1447231139
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Entity Type | Organization
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Legal Business Name | FOOTPRINTS ORTHOTIC SERVICES, INC.
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 261 JAMES ST SUITE 3C
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6392
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Country | US
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Telephone | 800-257-7892
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Fax | 201-796-7133
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Provider Business Mailing Address
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Address Line | 42 BAYVIEW AVE
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City | EASTPORT
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State | NY
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Zip | 11941-1103
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Country | US
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Telephone | 800-257-7892
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Fax | 201-796-7133
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL J CAPRARI
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Credential | C.O.
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Telephone | 800-257-7892
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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 | 45OR00002500
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License Number State | NJ
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