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General NPI Number Information
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NPI Number | 1871892398
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Entity Type | Organization
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Legal Business Name | VALLEY ORTHOTIC SPECIALISTS, INC
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 212 LINDEN DR STE 156-158
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City | WINCHESTER
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State | VA
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Zip | 22601-2862
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Country | US
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Telephone | 540-667-3631
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Fax | 540-667-3632
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Provider Business Mailing Address
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Address Line | 1726 AMHERST ST
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City | WINCHESTER
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State | VA
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Zip | 22601-2807
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Country | US
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Telephone | 540-667-3631
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Fax | 540-667-3632
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Authorized Official
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Title or Position | CERTIFIED ORTHOTIST
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Name | SARAH A LANE
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Credential | CO
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Telephone | 540-667-3631
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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 | CO2397
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License Number State |
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