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General NPI Number Information
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NPI Number | 1467744334
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Entity Type | Organization
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Legal Business Name | CHOICE O&P, LLC
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 109 CENTRAL AVE
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City | OAK RIDGE
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State | TN
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Zip | 37830-6905
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Country | US
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Telephone | 865-588-4256
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Fax |
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Provider Business Mailing Address
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Address Line | 314 ERIN DR SUITE 101
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City | KNOXVILLE
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State | TN
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Zip | 37919-6209
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MARTIN ALTSHULER
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Credential |
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Telephone | 865-588-4256
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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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