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General NPI Number Information
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NPI Number | 1609616481
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Entity Type | Organization
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Legal Business Name | HOPE ARTIFICIAL LIMB & BRACE,LLC
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 2244 FARADAY AVE # 105
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City | CARLSBAD
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State | CA
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Zip | 92008-7208
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Country | US
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Telephone | 323-246-4645
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Fax | 323-784-2795
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Provider Business Mailing Address
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Address Line | 2607 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-2309
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Country | US
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Telephone | 323-246-4645
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Fax | 323-784-2795
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Authorized Official
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Title or Position | BILLER
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Name | MINERVA RODRIGUEZ
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Credential |
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Telephone | 323-246-4645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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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