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General NPI Number Information
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NPI Number | 1972301562
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Entity Type | Organization
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Legal Business Name | SANDHILLS ORTHOTICS, LLC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 6977 NEXUS CT STE 104
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2651
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Country | US
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Telephone | 910-295-2828
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Fax | 910-295-2996
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Provider Business Mailing Address
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Address Line | PO BOX 4754
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City | PINEHURST
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State | NC
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Zip | 28374-4754
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Country | US
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Telephone | 910-295-2828
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Fax | 910-295-2996
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | PATRICK O'REILLY
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Credential | CPO
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Telephone | 910-295-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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