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General NPI Number Information
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NPI Number | 1447787239
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Entity Type | Organization
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Legal Business Name | HUMMEL ORTHOTICS
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 925 E FILLMORE ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6315
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Country | US
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Telephone | 719-227-0091
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Fax | 719-227-0092
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Provider Business Mailing Address
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Address Line | 925 E FILLMORE ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6315
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Country | US
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Telephone | 719-227-0091
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Fax | 719-227-0092
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | MATTHEW THOMAS HUMMEL
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Credential |
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Telephone | 719-640-3069
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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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