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General NPI Number Information
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NPI Number | 1497026074
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Entity Type | Organization
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Legal Business Name | CAPITAL ORTHOTICS & PROSTHETICS, LLC
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 01/02/2015
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Provider Practice Location Address
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Address Line | 15 NELSON ST 1ST FLOOR
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City | MANCHESTER
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State | NH
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Zip | 03103
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Country | US
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Telephone | 603-425-0106
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Fax | 603-425-0108
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Provider Business Mailing Address
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Address Line | 246 PLEASANT ST SUITE 200
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City | CONCORD
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State | NH
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Zip | 03301-2548
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Country | US
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Telephone | 603-226-0106
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Fax | 603-226-0845
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Authorized Official
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Title or Position | OWNER
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Name | MR. GEORGE T ROGERS
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Credential | C.O.
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Telephone | 603-226-0106
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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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