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General NPI Number Information
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NPI Number | 1336633544
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Entity Type | Organization
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Legal Business Name | DYNASPLINT SYSTEMS INC.
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 221 W 2ND STREET SUITE 618
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City | LITTLE ROCK
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State | AR
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Zip | 72201-2587
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Country | US
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Telephone | 800-638-6771
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Fax | 800-380-3784
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Provider Business Mailing Address
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Address Line | 770 RITCHIE HWY SUITE W21
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City | SEVERNA PARK
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State | MD
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Zip | 21146-4152
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Country | US
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Telephone | 800-638-6771
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Fax | 800-380-3784
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. GEORGE R HEPBURN
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Credential | P.T.
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Telephone | 800-638-6771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1121034
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License Number State | MD
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