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General NPI Number Information
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NPI Number | 1568040251
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Entity Type | Organization
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Legal Business Name | PRECISION ORTHOTICS AND PROSTHETICS LLC
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 9531 JEFFERSON HWY STE A
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City | RIVER RIDGE
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State | LA
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Zip | 70123-2507
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Country | US
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Telephone | 504-345-1781
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Fax |
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Provider Business Mailing Address
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Address Line | 124 PLEASANT RIDGE DR
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City | BELLE CHASSE
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State | LA
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Zip | 70037-4502
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Country | US
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Telephone | 504-345-1781
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | RICHARD M DARLING
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Credential | CP
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Telephone | 504-345-1781
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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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