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General NPI Number Information
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NPI Number | 1679954127
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Entity Type | Organization
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Legal Business Name | EMPIRE PROSTHETIC & ORTHOTIC DESIGNS LLC
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 136 E 57TH ST FL 1501
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City | NEW YORK
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State | NY
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Zip | 10022-2938
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Country | US
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Telephone | 212-243-2972
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Fax | 212-419-9458
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Provider Business Mailing Address
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Address Line | 34 LOVELL DR
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City | WANAQUE
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State | NJ
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Zip | 07465-1043
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Country | US
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Telephone | 212-243-2972
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Fax | 212-419-9486
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. GARRETT PASCAVAGE
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Credential | CPO
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Telephone | 212-243-2972
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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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