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General NPI Number Information
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NPI Number | 1205894888
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Entity Type | Organization
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Legal Business Name | PROSTHEIC SOLUTIONS INC.
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1479 PARKER RD SE SUITE 600
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City | CONYERS
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State | GA
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Zip | 30094-6636
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Country | US
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Telephone | 770-483-7060
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Fax | 770-483-9292
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Provider Business Mailing Address
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Address Line | 1479 PARKER RD SE SUITE 600
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City | CONYERS
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State | GA
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Zip | 30094-6636
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Country | US
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Telephone | 770-483-7060
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Fax | 770-483-9292
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID E HUGGINS
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Credential | CP
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Telephone | 770-483-7060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0900X
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Taxonomy Name | Amputee Clinic/Center
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License Number |
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License Number State |
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