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General NPI Number Information
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NPI Number | 1942451349
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Entity Type | Organization
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Legal Business Name | METROPOLITAN SHOES & ORTHOTICS, LLC
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Dates
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Enumeration Date | 10/03/2008
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 56 ARBOR ST SUITE 212
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City | HARTFORD
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State | CT
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Zip | 06106-1222
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Country | US
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Telephone | 860-778-6419
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Fax |
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Provider Business Mailing Address
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Address Line | 56 ARBOR ST SUITE 212
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City | HARTFORD
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State | CT
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Zip | 06106-1222
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Country | US
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Telephone | 860-778-6419
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. PAULO R BORGES
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Credential | CPED
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Telephone | 860-232-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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