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General NPI Number Information
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NPI Number | 1053593640
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Entity Type | Organization
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Legal Business Name | ALL ABOUT THE FIT
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Dates
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Enumeration Date | 12/05/2007
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 2213 E HIGHLAND DR
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City | JONESBORO
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State | AR
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Zip | 72401-6127
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Country | US
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Telephone | 870-268-1777
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Fax | 870-268-1777
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Provider Business Mailing Address
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Address Line | PO BOX 17221
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City | JONESBORO
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State | AR
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Zip | 72403-6722
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Country | US
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Telephone | 870-268-1777
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Fax | 870-268-1777
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MRS. MARY J YOUNG
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Credential |
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Telephone | 870-268-1777
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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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