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General NPI Number Information
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NPI Number | 1619351541
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Entity Type | Organization
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Legal Business Name | INMOTION PROSTHETICS AND ORTHOTICS LLC
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 16250 KNOLL TRAIL DR STE 100
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City | DALLAS
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State | TX
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Zip | 75248-2866
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Country | US
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Telephone | 817-251-2220
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Fax | 866-981-5223
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Provider Business Mailing Address
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Address Line | 16250 KNOLL TRAIL DR STE 100
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City | DALLAS
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State | TX
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Zip | 75248-2866
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Country | US
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Telephone | 817-251-2220
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Fax | 866-981-5223
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Authorized Official
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Title or Position | PRESIDENT
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Name | TODD NELSON
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Credential |
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Telephone | 503-910-2073
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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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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 101603
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License Number State | TX
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