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General NPI Number Information
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NPI Number | 1881648467
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Entity Type | Organization
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Legal Business Name | HEMET PROSTHETIC & ORTHOTIC GROUP, INC.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 1133 E FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92543-4512
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Country | US
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Telephone | 951-766-4297
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Fax | 951-766-4299
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Provider Business Mailing Address
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Address Line | 1133 E FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92543-4512
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WAYNE A KAUFMAN
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Credential | CPO
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Telephone | 951-766-4297
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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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