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NPI 1487500229

NPI 1487500229 : UPLIFT CARE O&P : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1487500229
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    Entity Type          |    Organization 
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    Legal Business Name  |    UPLIFT CARE O&P 
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Dates
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    Enumeration Date     |    03/05/2026
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    Last Update Date     |    03/05/2026
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Provider Practice Location Address
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    Address Line         |    1489 DE ROSE WAY APT 106 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95126-4137
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    Country              |    US
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    Telephone            |    407-232-3436
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1489 DE ROSE WAY APT 106 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95126-4137
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    Country              |    US
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    Telephone            |    407-232-3436
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ELISEO  PINILLA 
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    Credential           |    CFO
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    Telephone            |    407-232-3436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    224P00000X
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    Taxonomy Name        |    Prosthetist
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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        |    225000000X
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    Taxonomy Name        |    Orthotic Fitter
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    License Number       |    
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    License Number State |    
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