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General NPI Number Information
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NPI Number | 1689729345
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Entity Type | Organization
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Legal Business Name | L & B LABORATORIES, INC.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 3403 POWERLINE RD SUITE 806
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City | FT LAUDERDALE
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State | FL
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Zip | 33309-5935
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Country | US
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Telephone | 954-561-9513
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Fax | 205-608-0166
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Provider Business Mailing Address
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Address Line | 1010 COMMON ST SUITE 2010
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2401
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Country | US
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Telephone | 954-561-9513
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Fax | 205-608-0166
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Authorized Official
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Title or Position | OWNER
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Name | DAVID WYATT
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Credential | BCO
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Telephone | 954-561-9513
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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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