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General NPI Number Information
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NPI Number | 1962475053
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Entity Type | Organization
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Legal Business Name | ANATOMICAL DESIGNS, INC.
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 07/18/2014
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Provider Practice Location Address
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Address Line | 511 BURROUGHS ST SUITE 104
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City | MORGANTOWN
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State | WV
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Zip | 26505-3388
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Country | US
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Telephone | 304-284-9190
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Fax | 304-284-9194
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Provider Business Mailing Address
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Address Line | 383 DIXON BLVD
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City | UNIONTOWN
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State | PA
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Zip | 15401-3967
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Country | US
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Telephone | 724-430-1470
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Fax | 724-430-1472
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Authorized Official
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Title or Position | OWNER
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Name | SHANDON H. HIME
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Credential | CP, FAAOP
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Telephone | 724-430-1470
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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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