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General NPI Number Information
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NPI Number | 1548357759
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Entity Type | Organization
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Legal Business Name | ORTHO CARE, INC
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Dates
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Enumeration Date | 10/07/2006
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 10 PROSPECT ST 1ST FLOOR
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City | WESTFIELD
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State | NJ
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Zip | 07090-2114
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Country | US
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Telephone | 908-232-9910
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Fax | 908-232-9915
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Provider Business Mailing Address
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Address Line | 10 PROSPECT ST 1ST FLOOR
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City | WESTFIELD
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State | NJ
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Zip | 07090-2114
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Country | US
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Telephone | 908-232-9910
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Fax | 908-232-9915
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JULIA MOOERS DIDDELL
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Credential | LPO, BOCPO, C.PED.
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Telephone | 908-232-9910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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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 | 45PO00014100
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License Number State | NJ
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