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General NPI Number Information
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NPI Number | 1699559146
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Entity Type | Organization
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Legal Business Name | NUTECH INSTITUTE LLC
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 1220 WATERWAY BLVD STE M115
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-2157
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Country | US
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Telephone | 463-271-4545
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Fax | 463-271-4599
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Provider Business Mailing Address
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Address Line | 1800 GORDON RD
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City | JAMESTOWN
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State | OH
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Zip | 45335-9730
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Country | US
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Telephone | 937-510-2220
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK WILLIAM FORD
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Credential |
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Telephone | 937-510-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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