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General NPI Number Information
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NPI Number | 1851405518
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Entity Type | Organization
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Legal Business Name | NATIONAL PEDORTHIC SERVICES, INC.
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 1334 APPLEGATE RD SUITE 200
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City | MADISON
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State | WI
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Zip | 53713-3184
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Country | US
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Telephone | 605-255-3500
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Fax | 605-255-3515
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Provider Business Mailing Address
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Address Line | 7283 W APPLETON AVE
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City | MILWAUKEE
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State | WI
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Zip | 53216-1932
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Country | US
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Telephone | 414-438-1216
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | NICOLE S JANISSE
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Credential |
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Telephone | 414-438-1216
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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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