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General NPI Number Information
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NPI Number | 1932657103
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Entity Type | Organization
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Legal Business Name | RESTORE MEDICAL INC.
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 770 MASON ST STE 115
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City | VACAVILLE
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State | CA
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Zip | 95688-4647
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Country | US
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Telephone | 707-359-4642
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Fax | 707-359-4613
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Provider Business Mailing Address
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Address Line | 3958 VALLEY AVE STE H
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City | PLEASANTON
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State | CA
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Zip | 94566-4701
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Country | US
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Telephone | 925-523-7670
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Fax | 925-399-6709
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Authorized Official
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Title or Position | COO
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Name | KATI AUXIER
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Credential |
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Telephone | 925-523-7670
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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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