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General NPI Number Information
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NPI Number | 1619336500
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Entity Type | Organization
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Legal Business Name | PIONEER VALLEY ORTHOTICS & PROSTHETICS, INC.
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Dates
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Enumeration Date | 02/19/2016
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Last Update Date | 02/19/2016
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Provider Practice Location Address
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Address Line | 740 WILLIAMS ST
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City | PITTSFIELD
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State | MA
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Zip | 01201-7463
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Country | US
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Telephone | 413-445-5034
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Fax | 413-443-2755
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Provider Business Mailing Address
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Address Line | 138 DOTY CIR
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City | WEST SPRINGFIELD
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State | MA
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Zip | 01089-1310
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Country | US
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Telephone | 413-788-9655
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Fax | 413-732-0828
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FRANK H TWYEFFORT III
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Credential | CPO
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Telephone | 413-788-9655
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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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