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General NPI Number Information
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NPI Number | 1972558492
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Entity Type | Organization
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Legal Business Name | ORTHOTICS CONCEPTS, INC.
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 483 LEPROVENCE CIRCLE
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City | NAPERVILLE
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State | IL
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Zip | 60540
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Country | US
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Telephone | 630-416-1035
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Fax | 630-416-1038
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Provider Business Mailing Address
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Address Line | 483 LEPROVENCE CIRCLE
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City | NAPERVILLE
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State | IL
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Zip | 60540
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Country | US
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Telephone | 630-416-1035
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Fax | 630-416-1038
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELLEN MCKENZIE
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Credential |
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Telephone | 630-416-1035
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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 | IL
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