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General NPI Number Information
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NPI Number | 1477558047
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Entity Type | Organization
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Legal Business Name | HANGER PROSTHETICS & ORTHOTICS, INC.
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 02/03/2024
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Provider Practice Location Address
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Address Line | 11155 MAIN ST
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City | HOUSTON
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State | TX
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Zip | 77025-5600
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Country | US
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Telephone | 713-747-4171
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Fax | 713-747-4249
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Provider Business Mailing Address
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Address Line | PO BOX 650846
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City | DALLAS
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State | TX
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Zip | 75265-0846
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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 | PROVIDER CONTRACT ANALYST III
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Name | MS. GRACE ANGELINE
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Credential |
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Telephone | 714-961-2102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 000019
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 000019
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License Number State | TX
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