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General NPI Number Information
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NPI Number | 1578732798
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Entity Type | Organization
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Legal Business Name | PRECISION PROSTHETICS & ORTHOTICS, LLC
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 5810 E 2ND ST SUITE 300
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City | CASPER
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State | WY
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Zip | 82609-4329
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Country | US
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Telephone | 307-237-3271
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Fax | 307-315-6006
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Provider Business Mailing Address
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Address Line | 5810 E 2ND ST SUITE 300
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City | CASPER
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State | WY
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Zip | 82609-4329
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Country | US
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Telephone | 307-237-3271
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Fax | 307-315-6006
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Authorized Official
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Title or Position | CERTIFIED PROSTHETIST/ORTHOTIST
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Name | MR. KAMIL LEMAN
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Credential | CP/BOCPO
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Telephone | 307-237-3271
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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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