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General NPI Number Information
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NPI Number | 1720018526
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Entity Type | Organization
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Legal Business Name | COMFORT PROSTHETICS & ORTHOTICS INC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 276 SOUTHBOUND GRATIOT AVE
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-2475
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Country | US
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Telephone | 586-468-4600
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Fax | 586-468-9508
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Provider Business Mailing Address
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Address Line | 276 SOUTHBOUND GRATIOT AVE
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-2475
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Country | US
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Telephone | 586-468-4600
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Fax | 586-468-9508
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | ROBERT MANIERE
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Credential | CPO
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Telephone | 586-468-4600
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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 | MI
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