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General NPI Number Information
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NPI Number | 1891873006
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Entity Type | Organization
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Legal Business Name | LIMB CRAFT, INC.
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 810 E CHAPMAN AVE SUITE C
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City | FULLERTON
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State | CA
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Zip | 92831-3850
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Country | US
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Telephone | 714-626-0417
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Fax | 714-626-0319
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Provider Business Mailing Address
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Address Line | 810 E CHAPMAN AVE SUITE C
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City | FULLERTON
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State | CA
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Zip | 92831-3850
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Country | US
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Telephone | 714-626-0417
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Fax | 714-626-0319
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATHAN RYAN LEE
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Credential | CPO
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Telephone | 714-626-0417
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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 | CPO02709
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License Number State | CA
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