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General NPI Number Information
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NPI Number | 1518013275
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Entity Type | Organization
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Legal Business Name | ATLANTIC PROSTHETIC AND ORTHOTIC SERVICES
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1274 CONGRESS ST
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City | PORTLAND
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State | ME
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Zip | 04102-2111
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Country | US
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Telephone | 207-774-1002
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Fax | 207-774-9002
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Provider Business Mailing Address
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Address Line | 1274 CONGRESS ST
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City | PORTLAND
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State | ME
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Zip | 04102-2111
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Country | US
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Telephone | 207-774-1002
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Fax | 207-774-9002
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN-PAUL DONOVAN
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Credential | CPO
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Telephone | 207-774-1002
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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 | CPO 1271
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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