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General NPI Number Information
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NPI Number | 1184081952
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Entity Type | Organization
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Legal Business Name | A STEP AHEAD, LLC
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 1703 GROVE ST
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City | COLUMBIA
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State | TN
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Zip | 38401-3517
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Country | US
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Telephone | 615-383-0048
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Fax | 615-383-1588
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Provider Business Mailing Address
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Address Line | 718 THOMPSON LN STE 115
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City | NASHVILLE
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State | TN
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Zip | 37204-3600
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Country | US
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Telephone | 615-383-0048
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Fax | 615-383-1588
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Authorized Official
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Title or Position | COO
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Name | MR. JOSHUA MATHEW RIEGER
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Credential |
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Telephone | 615-383-0048
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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 | ORT0000000184
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License Number State | TN
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