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General NPI Number Information
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NPI Number | 1477325892
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Entity Type | Organization
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Legal Business Name | SURE FOOTING ORTHOTICS, LLC
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Dates
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Enumeration Date | 10/30/2023
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Last Update Date | 10/30/2023
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Provider Practice Location Address
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Address Line | 11990 N HIGHWAY 99
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City | SEMINOLE
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State | OK
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Zip | 74868-9411
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Country | US
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Telephone | 405-303-6078
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Fax |
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Provider Business Mailing Address
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Address Line | 11990 N HIGHWAY 99
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City | SEMINOLE
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State | OK
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Zip | 74868-9411
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Country | US
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Telephone | 405-303-6078
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANNE CARTER
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Credential |
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Telephone | 760-583-9517
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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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