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General NPI Number Information
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NPI Number | 1497720395
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Entity Type | Organization
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Legal Business Name | ACHILLES PROSTHETICS & ORTHOTICS, LLC
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 503 N FRANKLIN TPKE STE 12
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City | RAMSEY
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State | NJ
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Zip | 07446-1142
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Country | US
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Telephone | 201-785-9944
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Fax | 201-785-9845
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Provider Business Mailing Address
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Address Line | PO BOX 519
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City | HO HO KUS
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State | NJ
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Zip | 07423-0519
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Country | US
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Telephone | 201-785-9944
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Fax | 201-785-9945
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Authorized Official
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Title or Position | CERTIFIED PROSTHETIST ORTHOTIST
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Name | MR. PETER R BUFFINGTON
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Credential | CPO
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Telephone | 201-785-9944
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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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