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NPI 1235044066

NPI 1235044066 : SHARPER ORTHOTICS AND PROSTHETICS SOLUTIONS : FAYETTEVILLE, GA

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General NPI Number Information
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    NPI Number           |    1235044066
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHARPER ORTHOTICS AND PROSTHETICS SOLUTIONS 
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Dates
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    Enumeration Date     |    08/17/2026
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    Last Update Date     |    08/17/2026
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Provider Practice Location Address
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    Address Line         |    101 DEVANT ST STE 402 
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    City                 |    FAYETTEVILLE
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    State                |    GA
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    Zip                  |    30214-2713
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    Country              |    US
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    Telephone            |    770-853-0860
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 DEVANT ST STE 402 
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    City                 |    FAYETTEVILLE
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    State                |    GA
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    Zip                  |    30214-2713
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    Country              |    US
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    Telephone            |    770-853-0860
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. SEAN WILTON HARPER 
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    Credential           |    CO/LO
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    Telephone            |    770-853-0860
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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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