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General NPI Number Information
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NPI Number | 1518067511
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Entity Type | Organization
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Legal Business Name | O AND P SERVICES, INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1830 SIERRA GARDENS DR STE 40
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City | ROSEVILLE
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State | CA
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Zip | 95661-2942
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Country | US
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Telephone | 916-784-1612
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Fax | 916-784-2182
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Provider Business Mailing Address
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Address Line | 1830 SIERRA GARDENS DR STE 40
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City | ROSEVILLE
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State | CA
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Zip | 95661-2942
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Country | US
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Telephone | 916-784-1612
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Fax | 916-784-2182
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GARY W. PROUT
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Credential | CPO
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Telephone | 916-784-1612
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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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