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General NPI Number Information
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NPI Number | 1780689646
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Entity Type | Organization
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Legal Business Name | HUSE ARTIFICIAL LIMB & BRACE, INC.
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 9668 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6245
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Country | US
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Telephone | 954-432-0355
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Fax | 954-432-2062
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Provider Business Mailing Address
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Address Line | 9668 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6245
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Country | US
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Telephone | 954-432-0355
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Fax | 954-432-2062
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Authorized Official
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Title or Position | CEO
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Name | MELISSA S HUSE
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Credential | CPO
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Telephone | 954-432-0355
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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 | POR 79
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License Number State | FL
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