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General NPI Number Information
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NPI Number | 1699865147
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Entity Type | Organization
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Legal Business Name | ORTHOTICS & PROSTHETICS TECHNOLOGIES CORP
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 2 AURA DR
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City | VALLEY COTTAGE
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State | NY
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Zip | 10989-1208
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Country | US
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Telephone | 845-358-1956
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Fax |
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Provider Business Mailing Address
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Address Line | 2 AURA DR
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City | VALLEY COTTAGE
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State | NY
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Zip | 10989-1208
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Country | US
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Telephone | 845-358-4747
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Fax |
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Authorized Official
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Title or Position | ORTHOTIST & PROSTHETIST
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Name | MR. JOSEPH MOLINO
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Credential | MS, CPO
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Telephone | 845-358-4747
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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 | 45PO00004500
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License Number State | NJ
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