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General NPI Number Information
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NPI Number | 1508862665
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND BRACE COMPANY, INC.
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 224 ROUTE 108 UNIT A
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City | SOMERSWORTH
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State | NH
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Zip | 03878-6513
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Country | US
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Telephone | 603-692-9250
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Fax | 603-692-9251
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Provider Business Mailing Address
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Address Line | 224 ROUTE 108 UNIT A
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City | SOMERSWORTH
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State | NH
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Zip | 03878
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Country | US
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Telephone | 603-692-9250
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Fax | 603-692-9251
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL W. GUIMOND
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Credential | C.O.
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Telephone | 603-668-8360
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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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