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General NPI Number Information
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NPI Number | 1760561369
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH ORTHOTICS & PROSTHETICS
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 413 MOUNT CROSS RD SUITE 107
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City | DANVILLE
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State | VA
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Zip | 24541-9999
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Country | US
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Telephone | 434-836-4736
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Fax | 434-836-6208
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Provider Business Mailing Address
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Address Line | 413 MOUNT CROSS RD SUITE 107
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City | DANVILLE
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State | VA
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Zip | 24541-9999
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Country | US
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Telephone | 434-836-4736
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Fax | 434-836-6208
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THEODORE NICHOLAS ARGYRAKIS II
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Credential | CERTIFIED PROTHETIST
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Telephone | 434-836-4736
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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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