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General NPI Number Information
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NPI Number | 1871717991
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Entity Type | Organization
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Legal Business Name | PRECISION ORTHOTICS & PROSTHETICS, INC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 303 FIFTH AVENUE SUITE 511
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City | NEW YORK
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State | NY
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Zip | 10016-6686
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Country | US
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Telephone | 212-213-6226
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Fax | 212-213-6022
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Provider Business Mailing Address
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Address Line | 303 FIFTH AVENUE SUITE 511
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City | NEW YORK
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State | NY
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Zip | 10016-6686
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Country | US
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Telephone | 212-213-6226
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Fax | 212-213-6022
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROGER W CHIN
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Credential | C.P.O.
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Telephone | 212-213-6226
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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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