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NPI 1972642569

NPI 1972642569 : PARR PROSTHETICS AND ORTHOPEDIC AIDS : SLIDELL, LA

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General NPI Number Information
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    NPI Number           |    1972642569
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARR PROSTHETICS AND ORTHOPEDIC AIDS 
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Dates
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    Enumeration Date     |    02/06/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    172 COMMERCIAL SQ 
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    City                 |    SLIDELL
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    State                |    LA
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    Zip                  |    70461-5418
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    Country              |    US
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    Telephone            |    985-649-2010
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    Fax                  |    985-847-9205
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Provider Business Mailing Address
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    Address Line         |    172 COMMERCIAL SQ 
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    City                 |    SLIDELL
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    State                |    LA
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    Zip                  |    70461-5418
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    Country              |    US
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    Telephone            |    985-649-2010
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    Fax                  |    985-847-9205
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     LARRY  LAUGHLIN 
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    Credential           |    
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    Telephone            |    985-649-2010
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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 |    LA
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