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General NPI Number Information
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NPI Number | 1508911173
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Entity Type | Organization
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Legal Business Name | J & J ARTIFICIAL LIMB & BRACE LLC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | 11411 W BERNARDO CT.
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City | SAN DIEGO
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State | CA
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Zip | 92127
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Country | US
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Telephone | 858-613-0958
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Fax | 858-613-0959
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Provider Business Mailing Address
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Address Line | 11411 W BERNARDO CT.
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City | SAN DIEGO
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State | CA
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Zip | 92127
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Country | US
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Telephone | 858-613-0958
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Fax | 858-613-0959
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MS. MARTHA ALEJANDRE
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Credential |
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Telephone | 858-613-0958
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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 | CO004434
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | CPO1661
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License Number State | CA
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