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NPI 1588649768

NPI 1588649768 : KESSLER ORTHOTIC AND PROSTHETIC INC : LIVINGSTON, NJ

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General NPI Number Information
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    NPI Number           |    1588649768
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    Entity Type          |    Organization 
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    Legal Business Name  |    KESSLER ORTHOTIC AND PROSTHETIC INC 
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Dates
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    Enumeration Date     |    12/12/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    11 MICROLAB RD 
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    City                 |    LIVINGSTON
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    State                |    NJ
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    Zip                  |    07039
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    Country              |    US
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    Telephone            |    973-992-9700
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    Fax                  |    973-533-1015
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Provider Business Mailing Address
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    Address Line         |    11 MICROLAB RD 
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    City                 |    LIVINGSTON
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    State                |    NJ
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    Zip                  |    07039
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    Country              |    US
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    Telephone            |    973-992-9700
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    Fax                  |    973-533-1015
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Authorized Official
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    Title or Position    |    DIRECTOR ORTHOTICS PROSTHETICS
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    Name                 |    MR. GUS A EPPINGER 
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    Credential           |    CPO LPO-NJ
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    Telephone            |    973-992-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    222Z00000X
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    Taxonomy Name        |    Orthotist
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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        |    224P00000X
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    Taxonomy Name        |    Prosthetist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225000000X
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    Taxonomy Name        |    Orthotic Fitter
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    License Number       |    
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    License Number State |    
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