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NPI 1508845702

NPI 1508845702 : REDLANDS PROSTHETIC & ORTHOTIC GROUP INC : REDLANDS, CA

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General NPI Number Information
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    NPI Number           |    1508845702
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    Entity Type          |    Organization 
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    Legal Business Name  |    REDLANDS PROSTHETIC & ORTHOTIC GROUP INC 
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Dates
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    Enumeration Date     |    01/16/2006
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    Last Update Date     |    01/07/2025
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Provider Practice Location Address
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    Address Line         |    1849 W REDLANDS BLVD STE 103 
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    City                 |    REDLANDS
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    State                |    CA
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    Zip                  |    92373-3127
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    Country              |    US
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    Telephone            |    909-798-5853
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    Fax                  |    909-798-0602
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Provider Business Mailing Address
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    Address Line         |    1849 W REDLANDS BLVD STE 103 
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    City                 |    REDLANDS
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    State                |    CA
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    Zip                  |    92373-3127
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    Country              |    US
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    Telephone            |    909-798-5853
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    Fax                  |    909-798-0602
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Authorized Official
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    Title or Position    |    CFO, CO-OWNER
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    Name                 |     AMBER MARIE RASHIDI 
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    Credential           |    CPO
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    Telephone            |    909-798-5853
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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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