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General NPI Number Information
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NPI Number | 1679807432
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Entity Type | Organization
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Legal Business Name | RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, P.C.
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 3300 TILLMAN DR SECOND FLOOR
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City | BENSALEM
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State | PA
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Zip | 19020-2071
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Country | US
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Telephone | 800-321-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 TILLMAN DR SECOND FLOOR
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City | BENSALEM
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State | PA
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Zip | 19020-2071
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Country | US
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Telephone | 800-321-9999
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL E. WEST
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Credential |
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Telephone | 267-339-3680
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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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