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General NPI Number Information
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NPI Number | 1669651931
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Entity Type | Organization
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Legal Business Name | THECODA PROSTHETICS,LLC
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 6315 PEARL RD STE 301B
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City | PARMA HEIGHTS
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State | OH
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Zip | 44130-3074
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Country | US
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Telephone | 440-289-6977
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Fax | 440-244-2743
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Provider Business Mailing Address
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Address Line | 6315 PEARL RD STE 301B
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City | PARMA HEIGHTS
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State | OH
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Zip | 44130-3074
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Country | US
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Telephone | 440-289-6977
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Fax | 440-845-1805
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THEODORE R ARLOTTO
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Credential | MAMS
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Telephone | 440-289-6977
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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 | 0.29
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License Number State | OH
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