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General NPI Number Information
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NPI Number | 1730724394
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Entity Type | Organization
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Legal Business Name | PR ORTHOTICS & OT, LLC
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1701 E WOODFIELD RD STE 816
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City | SCHAUMBURG
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State | IL
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Zip | 60173-5133
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Country | US
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Telephone | 224-470-8550
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Fax | 224-470-8553
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Provider Business Mailing Address
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Address Line | 1701 E WOODFIELD RD STE 816
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City | SCHAUMBURG
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State | IL
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Zip | 60173-5133
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Country | US
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Telephone | 224-470-8550
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Fax | 224-470-8553
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Authorized Official
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Title or Position | CEO
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Name | PATRICIA LOUISE ROGEL
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Credential | CO, LO, OTR/L
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Telephone | 224-470-8550
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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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Taxonomy #2
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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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