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General NPI Number Information
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NPI Number | 1043183254
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Entity Type | Organization
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Legal Business Name | FIRST STEP PROSTHETICS, LLC
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1136 US 31W BYP
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2420
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Country | US
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Telephone | 270-904-6130
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Fax | 270-904-6132
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Provider Business Mailing Address
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Address Line | 1136 US 31W BYP
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2420
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Country | US
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Telephone | 270-904-6130
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Fax | 270-904-6132
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Authorized Official
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Title or Position | ORTHOTIST
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Name | DANIEL R HARTUNG
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Credential | CO
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Telephone | 270-904-6130
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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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