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General NPI Number Information
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NPI Number | 1447893664
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Entity Type | Organization
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Legal Business Name | EVER-CARE ORTHOTICS & PROSTHETICS LLC
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 6601 LYNDALE AVE S STE 330
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City | RICHFIELD
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State | MN
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Zip | 55423-2488
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Country | US
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Telephone | 612-354-4550
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Fax | 612-354-4448
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Provider Business Mailing Address
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Address Line | 6601 LYNDALE AVE S STE 330
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City | RICHFIELD
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State | MN
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Zip | 55423-2488
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Country | US
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Telephone | 612-354-4550
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Fax | 612-354-4448
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Authorized Official
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Title or Position | DIRECTOR
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Name | ISAAC MUHAMMAD
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Credential | MBA
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Telephone | 612-354-4550
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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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