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General NPI Number Information
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NPI Number | 1467869578
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Entity Type | Organization
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Legal Business Name | ORTHOTIC SOLUTIONS, INC.
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Dates
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Enumeration Date | 07/21/2014
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Last Update Date | 07/21/2014
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Provider Practice Location Address
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Address Line | 2700 ROGERS DR SUITE 102
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City | BIRMINGHAM
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State | AL
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Zip | 35209-2054
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Country | US
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Telephone | 205-591-8877
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Fax | 205-591-8814
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Provider Business Mailing Address
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Address Line | PO BOX 59726
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City | BIRMINGHAM
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State | AL
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Zip | 35259-9726
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Country | US
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Telephone | 205-591-8877
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Fax | 205-278-1418
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | KATIE REAVES
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Credential |
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Telephone | 205-591-8877
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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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