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General NPI Number Information
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NPI Number | 1730310632
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Entity Type | Organization
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Legal Business Name | ADVANTAGE PROSTHETICS & ORTHOTICS INC
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Dates
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Enumeration Date | 07/27/2009
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Last Update Date | 10/19/2011
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Provider Practice Location Address
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Address Line | 4000 OLD COURT RD SUITE 105
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City | PIKESVILLE
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State | MD
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Zip | 21208-2800
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Country | US
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Telephone | 443-602-7521
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Fax | 443-403-2347
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Provider Business Mailing Address
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Address Line | 4000 OLD COURT RD SUITE 105
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City | PIKESVILLE
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State | MD
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Zip | 21208-2800
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Country | US
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Telephone | 443-602-7521
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Fax | 443-403-2347
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Authorized Official
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Title or Position | CEO
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Name | MR. MEIR RASKAS
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Credential |
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Telephone | 443-602-7521
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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 | MD
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