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Contract Details
American Prosthetics & Orthotics
Facility name
Medical Equip Repairs & District
Provider ID
P000006281
Tax ID
900427698
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
6920 20th Ave
Brooklyn, NY 11204
United States
County
Kings
Phone
9175927277
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Orthotics/Prosthetics, Services
Map
Address