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General NPI Number Information
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NPI Number | 1891261046
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Entity Type | Organization
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Legal Business Name | AXIS ORTHOTICS AND PROSTHETICS LLC
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 8906 WALL ST STE 608
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City | AUSTIN
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State | TX
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Zip | 78754-4545
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Country | US
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Telephone | 713-397-9558
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Fax |
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Provider Business Mailing Address
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Address Line | 1311 PRINCE CREEK CT
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City | KATY
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State | TX
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Zip | 77450-4924
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Country | US
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Telephone | 821-809-3600
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Fax | 713-799-1260
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Authorized Official
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Title or Position | MANAGER
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Name | WILLIAM E HEARN
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Credential | CO,LPO
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Telephone | 713-799-1000
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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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