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General NPI Number Information
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NPI Number | 1285512830
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Entity Type | Organization
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Legal Business Name | THRIVE PROSTHETICS
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 138 JOERSCHKE DR
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City | GRASS VALLEY
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State | CA
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Zip | 95945-5248
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Country | US
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Telephone | 530-477-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 6620 COYLE AVE STE 301
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City | CARMICHAEL
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State | CA
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Zip | 95608-6337
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Country | US
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Telephone | 916-995-5680
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | KEVIN WILLIAM HENRY
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Credential | CFO
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Telephone | 916-671-3417
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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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