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General NPI Number Information
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NPI Number | 1578647608
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Entity Type | Organization
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Legal Business Name | FAMILY ORTHOTICS AND PROSTHETICS INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5550 S 59TH ST SUITE 24
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City | LINCOLN
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State | NE
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Zip | 68516-2398
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Country | US
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Telephone | 402-438-4340
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Fax | 402-438-4365
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Provider Business Mailing Address
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Address Line | PO BOX 1510
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City | KEARNEY
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State | NE
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Zip | 68848-1510
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Country | US
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Telephone | 308-338-3550
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Fax | 308-338-3551
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Authorized Official
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Title or Position | PATIENT ACCOUNTS
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Name | SUSAN C PAVLICEK
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Credential |
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Telephone | 308-338-3550
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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 | NE
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