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NPI 1225637028

NPI 1225637028 : REACH ORTHOTIC & PROSTHETIC SERVICE, INC. : NORFOLK, VA

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General NPI Number Information
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    NPI Number           |    1225637028
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    Entity Type          |    Organization 
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    Legal Business Name  |    REACH ORTHOTIC & PROSTHETIC SERVICE, INC. 
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Dates
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    Enumeration Date     |    10/22/2020
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    Last Update Date     |    10/23/2025
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Provider Practice Location Address
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    Address Line         |    6251 E VIRGINIA BEACH BLVD STE 135 
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    City                 |    NORFOLK
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    State                |    VA
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    Zip                  |    23502-2824
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    Country              |    US
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    Telephone            |    757-586-3255
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11747 JEFFERSON AVE STE 5A 
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    City                 |    NEWPORT NEWS
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    State                |    VA
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    Zip                  |    23606-1999
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    Country              |    US
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    Telephone            |    175-759-5980
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT / CHIEF OPERATING OFFICER
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    Name                 |     JOHN  ROBB 
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    Credential           |    CPO
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    Telephone            |    757-595-9800
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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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