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General NPI Number Information
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NPI Number | 1265481758
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Entity Type | Organization
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Legal Business Name | A STEP FORWARD LLC
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 8605 SW TERWILLIGER BLVD
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City | PORTLAND
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State | OR
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Zip | 97219-4565
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Country | US
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Telephone | 503-478-0600
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Fax | 503-478-0602
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Provider Business Mailing Address
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Address Line | 8605 SW TERWILLIGER BLVD
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City | PORTLAND
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State | OR
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Zip | 97219-4565
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Country | US
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Telephone | 503-478-0600
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Fax | 503-478-0602
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MEGAN MCCARTHY
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Credential |
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Telephone | 503-478-0600
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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 | OR
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