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General NPI Number Information
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NPI Number | 1801034319
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Entity Type | Organization
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Legal Business Name | J & K ORTHOPEDICS, INC.
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 01/22/2009
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Provider Practice Location Address
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Address Line | 224 W COLLEGE ST
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City | COVINA
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State | CA
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Zip | 91723-1918
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Country | US
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Telephone | 626-331-8856
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Fax | 626-915-3011
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Provider Business Mailing Address
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Address Line | 224 W COLLEGE ST
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City | COVINA
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State | CA
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Zip | 91723-1918
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Country | US
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Telephone | 626-331-8856
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Fax | 626-915-3011
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE P BOYER
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Credential | CO
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Telephone | 909-621-1180
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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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