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General NPI Number Information
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NPI Number | 1306759998
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Entity Type | Organization
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Legal Business Name | NIKIWITHBUNDLES LLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 206 E 86TH PL
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6258
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Country | US
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Telephone | 219-203-8707
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Fax |
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Provider Business Mailing Address
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Address Line | 3068 MALLORY ST
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City | PORTAGE
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State | IN
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Zip | 46368-7507
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Country | US
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Telephone | 219-331-3517
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NIKIYA HEARNS
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Credential |
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Telephone | 219-331-3517
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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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