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General NPI Number Information
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NPI Number | 1558173138
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Entity Type | Organization
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Legal Business Name | ADVANCE ORTHOTIC & PROSTHETIC SERVICES, INC.
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 10 STORER ST
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City | KENNEBUNK
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State | ME
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Zip | 04043-6875
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Country | US
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Telephone | 207-786-7022
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Fax | 207-777-1787
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Provider Business Mailing Address
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Address Line | 207 N RIVER RD
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City | AUBURN
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State | ME
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Zip | 04210-9479
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Country | US
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Telephone | 207-786-7022
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Fax | 207-777-1787
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Authorized Official
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Title or Position | OPERATION MANAGER
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Name | APRIL ANDERSON
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Credential |
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Telephone | 207-786-7022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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