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General NPI Number Information
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NPI Number | 1992700389
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Entity Type | Organization
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Legal Business Name | PA ARTIFICIAL LIMB & BRACE CO., INC.
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 10/09/2018
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Provider Practice Location Address
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Address Line | 224 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16508-1806
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Country | US
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Telephone | 814-868-5231
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Fax | 814-868-5232
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Provider Business Mailing Address
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Address Line | 224 W 26TH ST
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City | ERIE
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State | PA
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Zip | 16508-1806
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Country | US
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Telephone | 814-868-5231
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Fax | 814-868-5232
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | MRS. BARBARA A CUMMINGS
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Credential |
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Telephone | 814-868-5231
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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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Taxonomy #2
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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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