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General NPI Number Information
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NPI Number | 1710927678
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Entity Type | Organization
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Legal Business Name | LIMBCARE PROSTHETICS & ORTHOTICS, LLC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2925 LEDO RD UNIT 25
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City | ALBANY
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State | GA
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Zip | 31707-1266
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Country | US
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Telephone | 229-430-9778
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Fax | 229-430-1347
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Provider Business Mailing Address
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Address Line | 2925 LEDO RD UNIT 25
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City | ALBANY
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State | GA
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Zip | 31707-1266
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Country | US
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Telephone | 229-430-9778
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Fax | 229-430-1347
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Authorized Official
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Title or Position | CERTIFIED PROSTHETIST & ORHTOTIST
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Name | MR. JOHN P RODMAN SR.
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Credential | CPO
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Telephone | 229-430-9778
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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 | CPO1469
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License Number State | GA
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