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General NPI Number Information
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NPI Number | 1699317784
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Entity Type | Organization
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Legal Business Name | PREFERRED ORTHOTIC AND PROSTHETIC SERVICES, INC
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 520 S COWLEY ST STE 104
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City | SPOKANE
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State | WA
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Zip | 99202-1315
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Country | US
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Telephone | 509-866-4460
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Fax | 509-866-4461
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Provider Business Mailing Address
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Address Line | 8880 SW NIMBUS AVE STE A
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City | BEAVERTON
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State | OR
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Zip | 97008-7111
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Country | US
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Telephone | 503-765-5081
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Fax | 503-765-5081
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Authorized Official
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Title or Position | OWNER
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Name | TIMOTHY L O'NEILL
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Credential | CPO
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Telephone | 503-407-5408
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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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