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General NPI Number Information
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NPI Number | 1598743320
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Entity Type | Organization
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Legal Business Name | FALLS CITY LIMB & BRACE CO INC
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 742 EAST BROADWAY
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City | LOUISVILLE
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State | KY
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Zip | 40202
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Country | US
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Telephone | 502-584-2959
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Fax | 502-582-6305
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Provider Business Mailing Address
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Address Line | 742 EAST BROADWAY
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City | LOUISVILLE
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State | KY
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Zip | 40202
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Country | US
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Telephone | 502-584-2959
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Fax | 502-582-6305
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Authorized Official
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Title or Position | CERTIFIED PROSTHETIST/ MANAGER
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Name | MR. R WAYNE LUCKETT
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Credential | CP
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Telephone | 502-584-2959
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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 | KY
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