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General NPI Number Information
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NPI Number | 1023213295
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Entity Type | Organization
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Legal Business Name | ADVANCED PROSTHETIC SERVICES, INC.
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 2930 E MOORE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4831
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Country | US
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Telephone | 501-368-0868
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Fax | 501-368-0003
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Provider Business Mailing Address
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Address Line | 2930 E MOORE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4831
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Country | US
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Telephone | 501-368-0868
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Fax | 501-368-0003
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Authorized Official
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Title or Position | PRESIDENT
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Name | ASHLEY MOSS
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Credential |
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Telephone | 501-368-0868
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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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