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General NPI Number Information
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NPI Number | 1285500033
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Entity Type | Organization
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Legal Business Name | KICKSTART O&P, LLC
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 401 GREGORY LN STE 136
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2836
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Country | US
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Telephone | 510-996-4200
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Fax | 510-906-4557
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Provider Business Mailing Address
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Address Line | 4651 TELEGRAPH AVE
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City | OAKLAND
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State | CA
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Zip | 94609-2021
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Country | US
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Telephone | 510-996-4200
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Fax | 510-906-4557
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Authorized Official
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Title or Position | OWNER
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Name | TONY L LAFRANCE
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Credential | CPO
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Telephone | 510-996-4200
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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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