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General NPI Number Information
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NPI Number | 1649562539
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Entity Type | Organization
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Legal Business Name | ADVANCED ORTHOTICS & PROSTHETICS LLC
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 11011 S WILCREST DR STE D
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City | HOUSTON
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State | TX
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Zip | 77099-4346
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Country | US
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Telephone | 281-606-0849
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Fax | 866-526-1020
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Provider Business Mailing Address
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Address Line | 11011 S WILCREST DR STE D
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City | HOUSTON
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State | TX
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Zip | 77099-4346
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Country | US
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Telephone | 281-606-0849
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Fax | 866-526-1020
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Authorized Official
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Title or Position | CEO
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Name | MR. SOLOMAN GEORGE
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Credential |
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Telephone | 713-545-6956
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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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