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General NPI Number Information
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NPI Number | 1619509395
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Entity Type | Organization
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Legal Business Name | SKY ORTHOTICS & PROSTHETICS LLC
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 02/10/2020
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Provider Practice Location Address
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Address Line | 3233 SW 33RD RD STE 201
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City | OCALA
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State | FL
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Zip | 34474-8469
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Country | US
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Telephone | 407-698-7103
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 MAITLAND CENTER COMMONS BLVD STE 205
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City | MAITLAND
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State | FL
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Zip | 32751-7270
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MICHAEL NEWMYER
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Credential |
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Telephone | 844-759-5462
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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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