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General NPI Number Information
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NPI Number | 1619932001
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Entity Type | Organization
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Legal Business Name | ALABAMA ARTIFICIAL LIMB & ORTHOPEDIC SERVICE, INC.
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 1223 E SOUTH BLVD
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City | MONTGOMERY
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State | AL
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Zip | 36116-2315
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Country | US
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Telephone | 334-284-0250
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Fax | 334-280-2853
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 120
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City | NASHVILLE
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State | TN
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Zip | 37205-5249
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Country | US
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Telephone | 615-550-8774
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Fax | 615-454-5352
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. AARON KRATOHVIL
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Credential |
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Telephone | 615-550-8760
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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 | 019
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License Number State | AL
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