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NPI Code Detail

MEDICARE: HANGER PROSTHETICS & ORTHOTICS EAST INC

MEDICARE: HANGER PROSTHETICS & ORTHOTICS EAST 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
1332B00000XDurable Medical Equipment & Medical Supplies
2332BC3200XCustomized Equipment (DME)
3335E00000XProsthetic/Orthotic SupplierNC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285631119
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANGER PROSTHETICS & ORTHOTICS EAST 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 : 701 E ROOSEVELT BLVD STE 200B
Second Line :
City : MONROE
State : NC
Zip : 28112-4106
Country : US
Telephone Number : 704-291-2218
Fax Number : 704-291-2241
Authorized Official
Title or Position : REG COMPLIANCE SPECIALIST III
Name : GRACE ANGELINE
Credential :
Telephone Number : 714-961-2102
Provider Enumeration Date : 07/07/2005
Last Update Date : 02/08/2021

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Directions to “HANGER PROSTHETICS & ORTHOTICS EAST INC ” Practice Location

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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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