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1073687125

NPI Code Detail

MEDICARE: HANGER PROSTHETICS & ORTHOTICS INC

MEDICARE: HANGER PROSTHETICS & ORTHOTICS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073687125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANGER PROSTHETICS & ORTHOTICS INC

Provider Business Mailing Address
First Line	:	PO BOX 650846
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0846
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 ENTERPRISE RD STE B
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8320
Country	:	US
Telephone Number	:	386-774-5678
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER CONTRACT ANALYST III
Name	:	GRACE ANGELINE
Credential	:
Telephone Number	:	714-961-2102

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	08/30/2024

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Directions to “HANGER PROSTHETICS & ORTHOTICS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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