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General NPI Number Information
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NPI Number | 1477146868
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Entity Type | Organization
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Legal Business Name | TUCSON ORTHOTICS & PROSTHETICS, LLC
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 7478 N LA CHOLLA BLVD
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City | TUCSON
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State | AZ
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Zip | 85741-2306
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Country | US
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Telephone | 520-742-4406
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Fax | 520-742-4388
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Provider Business Mailing Address
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Address Line | 7478 N LA CHOLLA BLVD
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City | TUCSON
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State | AZ
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Zip | 85741-2306
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Country | US
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Telephone | 520-742-4406
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Fax | 520-742-4388
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | MR. DAVID S NETHER
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Credential | CPO
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Telephone | 803-236-9931
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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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