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General NPI Number Information
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NPI Number | 1679583983
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Entity Type | Organization
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Legal Business Name | TALMAGE ENTERPRISES, INC.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 2616 N LOY LAKE RD SUITE A
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City | SHERMAN
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State | TX
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Zip | 75090-2535
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Country | US
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Telephone | 903-868-3100
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Fax | 866-498-2390
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Provider Business Mailing Address
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Address Line | PO BOX 2426
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City | SHERMAN
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State | TX
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Zip | 75091-2426
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Country | US
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Telephone | 903-868-3100
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Fax | 866-498-2390
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN JEFFERY TALMAGE
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Credential | C.PED.
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Telephone | 903-868-3100
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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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