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General NPI Number Information
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NPI Number | 1003614199
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Entity Type | Organization
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Legal Business Name | ADVANCED MOBILITY PROSTHETICS
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3209 W SMITH VALLEY RD STE 149
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City | GREENWOOD
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State | IN
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Zip | 46142-8514
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Country | US
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Telephone | 317-798-0282
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Fax | 317-536-2944
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Provider Business Mailing Address
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Address Line | 8515 AUBURN RDG
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City | MARTINSVILLE
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State | IN
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Zip | 46151-6372
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Country | US
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Telephone | 317-937-7529
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Fax | 317-536-2944
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Authorized Official
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Title or Position | CEO
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Name | NICHOLAS ADAM BREWER
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Credential | CPO
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Telephone | 317-937-7529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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