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General NPI Number Information
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NPI Number | 1558398750
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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 | 06/26/2006
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Last Update Date | 01/22/2025
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Provider Practice Location 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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Provider Business Mailing Address
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Address Line | 207 NORTH RIVER ROAD
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City | AUBURN
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State | ME
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Zip | 04210
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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 | OWNER
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Name | MR. DAVID A JOHNSON
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Credential | CO
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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 | 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 |
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License Number State |
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