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General NPI Number Information
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NPI Number | 1801077367
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Entity Type | Organization
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Legal Business Name | ALEXANDER PROSTHETICS & ORTHOTICS, INC
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 716 SPRING AVE NE
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City | WISE
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State | VA
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Zip | 24293-5702
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Country | US
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Telephone | 276-328-6200
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Fax | 423-343-5654
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Provider Business Mailing Address
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Address Line | 716 SPRING AVE NE P. O. BOX 3425
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City | WISE
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State | VA
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Zip | 24293-5702
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Country | US
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Telephone | 276-328-6200
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Fax | 423-343-5654
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | SHARON E WILLIAMS
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Credential | CO, BOCO, CPED
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Telephone | 423-288-8599
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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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