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General NPI Number Information
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NPI Number | 1659252864
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Entity Type | Organization
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Legal Business Name | AVAIL PROSTHETICS & ORTHOTICS LLC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 155 N CREST BLVD
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City | MACON
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State | GA
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Zip | 31210-1845
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Country | US
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Telephone | 478-477-0977
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Fax |
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Provider Business Mailing Address
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Address Line | 121 KINGSWOOD DR
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City | MACON
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State | GA
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Zip | 31210-6100
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Country | US
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Telephone | 478-477-0977
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DARRELL HALLMAN
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Credential | CPO
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Telephone | 478-477-0977
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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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