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General NPI Number Information
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NPI Number | 1437525201
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Entity Type | Organization
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Legal Business Name | EASTERN CRANIAL AFFILIATES, LLC
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 19450 DEERFIELD AVE STE 270
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City | LEESBURG
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State | VA
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Zip | 20176-6821
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Country | US
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Telephone | 703-807-5899
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Fax |
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Provider Business Mailing Address
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Address Line | 10523 MAIN ST
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City | FAIRFAX
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State | VA
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Zip | 22030-3310
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Country | US
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Telephone | 703-807-5899
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSEPH F TERPENNING
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Credential | CO
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Telephone | 703-807-5899
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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 | VA
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