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General NPI Number Information
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NPI Number | 1932365673
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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 | 08/01/2008
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 41785 ENTERPRISE CIR S #E
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City | TEMECULA
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State | CA
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Zip | 92590-9804
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Country | US
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Telephone | 951-296-9677
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Fax | 951-296-9681
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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 | 951-766-4297
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Fax | 951-766-4299
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WAYNE ALLEN KAUFMAN
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Credential | C.P.O.
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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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