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An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI # | 1083772644 |
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| LBN Legal business name | DELLIGATTI SHOES | ||||||||||||
| Authorized official | RICHARD MARUNIAK - (OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 12/05/2006 | ||||||||||||
| Last updated | 03/03/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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DELLIGATTI SHOES