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An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1164990040 |
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| LBN Legal business name | COASTAL PROSTHETICS AND ORTHOTICS, LLC | ||||||||
| Authorized official | KAREN VAUGHN - (ADMINISTRATOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 11/08/2018 | ||||||||
| Last updated | 07/02/2019 - About 7 years ago | ||||||||
| Identifiers |
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COASTAL PROSTHETICS AND ORTHOTICS, LLC