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General NPI Number Information
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NPI Number | 1740451178
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Entity Type | Organization
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Legal Business Name | MORRISTOWN ORTHOTICS & PROSTHETICS LLC
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 1457 W MORRIS BLVD
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City | MORRISTOWN
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State | TN
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Zip | 37813-2828
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Country | US
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Telephone | 423-586-4455
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Fax | 423-586-8181
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Provider Business Mailing Address
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Address Line | 1457 W MORRIS BLVD
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City | MORRISTOWN
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State | TN
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Zip | 37813-2828
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Country | US
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Telephone | 423-586-4455
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Fax | 423-586-8181
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. TERRY M PARSONS
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Credential | COF
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Telephone | 423-586-4455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | CP 2127 CO 1603
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License Number State | TN
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