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NPI 1083268197

NPI 1083268197 : VIRGINIA PROSTHETICS INC : NORTH CHESTERFIELD, VA

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General NPI Number Information
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    NPI Number           |    1083268197
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    Entity Type          |    Organization 
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    Legal Business Name  |    VIRGINIA PROSTHETICS INC 
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Dates
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    Enumeration Date     |    07/26/2019
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    Last Update Date     |    11/23/2021
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Provider Practice Location Address
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    Address Line         |    10710 MIDLOTHIAN TPKE STE 116 
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    City                 |    NORTH CHESTERFIELD
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    State                |    VA
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    Zip                  |    23235-4766
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    Country              |    US
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    Telephone            |    888-366-8287
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4338 WILLIAMSON RD NW 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24012-2893
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    Country              |    US
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    Telephone            |    540-366-8287
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    Fax                  |    352-872-5433
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. JAMES DOUGLAS CALL 
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    Credential           |    
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    Telephone            |    540-366-8287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    224P00000X
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    Taxonomy Name        |    Prosthetist
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    License Number       |    
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    License Number State |    
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