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General NPI Number Information
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NPI Number | 1275538860
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Entity Type | Organization
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Legal Business Name | CLARKSVILLE LIMB & BRACE & REHAB., INC.
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 1711 ASHLEY CIR STE 8
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City | BOWLING GREEN
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State | KY
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Zip | 42104-5801
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Country | US
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Telephone | 270-780-0073
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Fax | 270-782-9962
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Provider Business Mailing Address
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Address Line | 980 PROFESSIONAL PARK DR STE B
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City | CLARKSVILLE
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State | TN
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Zip | 37040-5251
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Country | US
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Telephone | 931-648-2155
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Fax | 931-647-4952
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Authorized Official
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Title or Position | OWNER OF BIONIC
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Name | SUMESH SAXENA
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Credential |
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Telephone | 219-791-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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Taxonomy #2
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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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