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General NPI Number Information
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NPI Number | 1881671220
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Entity Type | Organization
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Legal Business Name | MUTUAL ORTHOPEDICS CO., INC
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 1767 VETERANS MEMORIAL HWY STE 42
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City | ISLANDIA
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State | NY
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Zip | 11749
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Country | US
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Telephone | 631-265-4444
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Fax | 631-265-4580
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Provider Business Mailing Address
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Address Line | 1767 VETERANS HWY STE 42
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City | ISLANDIA
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State | NY
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Zip | 11749-1536
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Country | US
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Telephone | 631-265-4444
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Fax | 631-265-4580
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANTHONY MICHAEL TUFANO
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Credential | CP
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Telephone | 631-265-4444
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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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