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General NPI Number Information
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NPI Number | 1043533953
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Entity Type | Organization
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Legal Business Name | AAVID ANALYSIS, INC
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Dates
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Enumeration Date | 03/05/2010
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 6266 STAGE RD
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City | BARTLETT
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State | TN
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Zip | 38134-3728
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Country | US
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Telephone | 901-267-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 2087 WILD VIOLET DR
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City | MEMPHIS
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State | TN
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Zip | 38133-7027
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Country | US
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Telephone | 901-267-4100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ASHLEY FISHER
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Credential | L.PED, CFO
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Telephone | 901-267-4100
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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 | PED21
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License Number State | TN
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