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General NPI Number Information
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NPI Number | 1720885775
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Entity Type | Organization
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Legal Business Name | MACYOP LLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1825 BARNUM AVE STE 201
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City | STRATFORD
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State | CT
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Zip | 06614-5333
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Country | US
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Telephone | 860-333-5558
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Fax |
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Provider Business Mailing Address
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Address Line | 305 FLANDERS RD UNIT 6
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City | EAST LYME
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State | CT
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Zip | 06333-1743
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Country | US
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Telephone | 860-333-5558
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Fax | 860-333-5558
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | THOMAS H MORRISSEY
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Credential |
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Telephone | 508-588-6060
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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 |
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