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General NPI Number Information
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NPI Number | 1760768196
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Entity Type | Organization
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Legal Business Name | AMERICAN LIMB & ORTHOPEDIC COMPANY OF VALPARAISO
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 3777 N. FRONTAGE RD SUITE 100
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City | MICHIGAN CITY
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State | IN
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Zip | 46360
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Country | US
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Telephone | 219-531-7479
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E. MORTHLAND DR SUITE 2
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City | VALPARAISO
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State | IN
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Zip | 46383
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Country | US
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Telephone | 219-531-7479
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAGNY LAUR
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Credential |
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Telephone | 219-531-7479
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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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