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General NPI Number Information
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NPI Number | 1871596270
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Entity Type | Organization
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Legal Business Name | ADVANCED ARM DYNAMICS OF TEXAS, LLC
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 3501 N MACARTHUR BLVD SUITE 650
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City | IRVING
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State | TX
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Zip | 75062-3636
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Country | US
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Telephone | 214-260-3197
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Fax | 214-260-8602
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Provider Business Mailing Address
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Address Line | 123 W TORRANCE BLVD SUITE 203
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City | REDONDO BEACH
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State | CA
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Zip | 90277-3610
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Country | US
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Telephone | 310-372-3050
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Fax | 310-372-3057
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN MIGUELEZ
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Credential | CP, FAAOP (D)
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Telephone | 310-372-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 554860000
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 000119
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License Number State | TX
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