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NPI 1780776187

NPI 1780776187 : ANATOMICAL DESIGNS, INC. : PARKERSBURG, WV

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General NPI Number Information
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    NPI Number           |    1780776187
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANATOMICAL DESIGNS, INC. 
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Dates
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    Enumeration Date     |    09/29/2006
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    Last Update Date     |    07/18/2014
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Provider Practice Location Address
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    Address Line         |    1600 MURDOCH AVE SUITE 300
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    City                 |    PARKERSBURG
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    State                |    WV
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    Zip                  |    26101-3248
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    Country              |    US
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    Telephone            |    304-485-1345
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    Fax                  |    304-485-0906
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Provider Business Mailing Address
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    Address Line         |    383 DIXON BLVD 
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    City                 |    UNIONTOWN
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    State                |    PA
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    Zip                  |    15401-3967
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    Country              |    US
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    Telephone            |    724-430-1470
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    Fax                  |    724-430-1472
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHANDON H. HIME 
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    Credential           |    CP, FAAOP
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    Telephone            |    800-418-0313
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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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