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General NPI Number Information
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NPI Number | 1821569674
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Entity Type | Organization
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Legal Business Name | QUALITY CARE PROSTHETICS & ORTHOTICS, INC.
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Dates
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Enumeration Date | 12/05/2018
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 3610 MARTIN LUTHER KING JR BLVD
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City | LYNWOOD
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State | CA
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Zip | 90262-2607
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Country | US
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Telephone | 800-714-4521
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Fax | 714-643-9467
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Provider Business Mailing Address
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Address Line | 1665 W KATELLA AVE
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City | ANAHEIM
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State | CA
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Zip | 92802-3021
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Country | US
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Telephone | 714-643-9206
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Fax | 714-643-9467
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Authorized Official
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Title or Position | RNP/OFFICE MANAGER
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Name | THU THUY THI NGUYEN
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Credential |
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Telephone | 714-643-9206
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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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