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General NPI Number Information
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NPI Number | 1437692290
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Entity Type | Organization
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Legal Business Name | NEW HOPE PROSTHETICS TEXARKANA LLC
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Dates
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Enumeration Date | 11/28/2016
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 5485 SUMMERHILL RD
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City | TEXARKANA
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State | TX
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Zip | 75503-4608
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Country | US
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Telephone | 903-832-0016
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Fax | 903-832-0335
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Provider Business Mailing Address
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Address Line | 5485 SUMMERHILL RD
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City | TEXARKANA
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State | TX
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Zip | 75503-4608
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Country | US
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Telephone | 903-832-0016
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Fax | 903-832-0335
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Authorized Official
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Title or Position | MANAGER
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Name | MR. GABRIEL MICHAEL GALSTER SR.
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Credential | C.P.
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Telephone | 870-489-1803
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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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