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General NPI Number Information
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NPI Number | 1801406251
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Entity Type | Organization
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Legal Business Name | THE PROSTHETIC INSTITUTE OF CENTRAL FLORIDA, LLC
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 04/01/2021
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Provider Practice Location Address
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Address Line | 2206 SE 3RD AVE
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City | OCALA
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State | FL
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Zip | 34471-5103
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Country | US
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Telephone | 352-895-0122
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Fax |
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Provider Business Mailing Address
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Address Line | 2206 SE 3RD AVE
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City | OCALA
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State | FL
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Zip | 34471-5103
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Country | US
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Telephone | 352-895-0122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY THOMAS INSCO
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Credential | LCPO
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Telephone | 352-895-0122
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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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