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General NPI Number Information
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NPI Number | 1700972361
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Entity Type | Organization
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Legal Business Name | BIO PROSTHETIC-ORTHOTIC LAB, INC.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 21785 FILIGREE COURT SUITE 210
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City | ASHBURN
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State | VA
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Zip | 20147
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Country | US
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Telephone | 703-726-4092
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Fax | 703-726-4095
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Provider Business Mailing Address
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Address Line | 21785 FILIGREE COURT SUITE 210
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City | ASHBURN
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State | VA
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Zip | 20147
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Country | US
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Telephone | 703-726-4092
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Fax | 703-726-4095
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Authorized Official
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Title or Position | OFFICE OPERATIONS MANAGER
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Name | MR. ERIC SHAWN FORD
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Credential |
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Telephone | 703-726-4092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #3
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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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