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General NPI Number Information
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NPI Number | 1255527206
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Entity Type | Organization
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Legal Business Name | H.O.P MEDICAL SUPPLIES, INC
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Dates
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Enumeration Date | 09/23/2007
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Last Update Date | 09/23/2007
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Provider Practice Location Address
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Address Line | 13235 KEACH PL
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City | HERNDON
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State | VA
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Zip | 20170-4326
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Country | US
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Telephone | 571-225-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 13235 KEACH PL
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City | HERNDON
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State | VA
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Zip | 20170-4326
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROGER D HAMILTON
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Credential |
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Telephone | 571-225-4414
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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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