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General NPI Number Information
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NPI Number | 1609987023
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Entity Type | Organization
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Legal Business Name | VIRGINIA ORTHOTICS CENTER, INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 2107 N HAMILTON ST STE D
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City | RICHMOND
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State | VA
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Zip | 23230-4116
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Country | US
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Telephone | 804-358-7669
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Fax | 804-358-7398
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Provider Business Mailing Address
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Address Line | 2107 N HAMILTON ST STE D
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City | RICHMOND
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State | VA
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Zip | 23230-4116
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Country | US
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Telephone | 804-358-7669
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Fax | 804-358-7398
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Authorized Official
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Title or Position | OWNER/ORTHOTIST
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Name | MR. TARIF I. ZAKI
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Credential | C.O.
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Telephone | 804-358-7669
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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 | 001368091-4
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License Number State | VA
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