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General NPI Number Information
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NPI Number | 1508121393
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Entity Type | Organization
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Legal Business Name | BD O & P INC.
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 1310 CONEY ISLAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11230-3521
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Country | US
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Telephone | 718-437-3200
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Fax | 718-483-8057
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Provider Business Mailing Address
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Address Line | 943 46TH ST
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City | BROOKLYN
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State | NY
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Zip | 11219-2332
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Country | US
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Telephone | 718-437-3200
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Fax | 718-483-8057
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAMUEL D TEITELBAUM
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Credential | C PED
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Telephone | 718-437-3200
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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 | C36411
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License Number State | NY
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