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General NPI Number Information
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NPI Number | 1487688628
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Entity Type | Organization
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Legal Business Name | SETRON PROSTHETICS & ORTHOTICS CORPERATION
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 1781 WESTERN AVE
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City | ALBANY
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State | NY
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Zip | 12203-4601
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Country | US
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Telephone | 518-456-3221
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Fax | 518-464-3694
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Provider Business Mailing Address
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Address Line | 1781 WESTERN AVE
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City | ALBANY
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State | NY
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Zip | 12203-4601
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Country | US
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Telephone | 518-456-3221
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Fax | 518-464-3694
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Authorized Official
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Title or Position | CERTIFIED ORTHOTIST/PROSTHETIST
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Name | MR. ERIC RUDY SETZER
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Credential | C.P.O.
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Telephone | 518-456-3221
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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 | 332B00000X
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License Number State | NY
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