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NPI 1477610210

NPI 1477610210 : KOCHS ORTHOTICS AND PROSTHETICS : CHELSEA, MI

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General NPI Number Information
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    NPI Number           |    1477610210
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    Entity Type          |    Organization 
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    Legal Business Name  |    KOCHS ORTHOTICS AND PROSTHETICS 
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Dates
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    Enumeration Date     |    01/02/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1301 MAIN STREET SUITE A
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    City                 |    CHELSEA
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    State                |    MI
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    Zip                  |    48118
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    Country              |    US
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    Telephone            |    734-433-2660
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    Fax                  |    734-433-1931
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Provider Business Mailing Address
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    Address Line         |    1301 MAIN STREET SUITE A
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    City                 |    CHELSEA
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    State                |    MI
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    Zip                  |    48118
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    Country              |    US
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    Telephone            |    734-433-2660
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    Fax                  |    734-433-1931
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. MARCELLO  GIRAO 
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    Credential           |    CO-PED
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    Telephone            |    248-723-5452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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