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General NPI Number Information
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NPI Number | 1083189211
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Entity Type | Organization
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Legal Business Name | NEXT STEP PROSTHETICS LLC
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 2826 RANDOLPH RD STE 201
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City | CHARLOTTE
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State | NC
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Zip | 28211-1386
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Country | US
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Telephone | 980-215-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 2826 RANDOLPH RD STE 201
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City | CHARLOTTE
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State | NC
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Zip | 28211-1359
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Country | US
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Telephone | 980-215-9600
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Fax | 980-217-8050
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Authorized Official
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Title or Position | PROSTHETIST/CO-OWNER
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Name | MR. TRAVIS BARLOW
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Credential | CP
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Telephone | 801-592-7180
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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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