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General NPI Number Information
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NPI Number | 1508976671
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Entity Type | Organization
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Legal Business Name | NEW HOPE PROSTHETICS & ORTHODICS INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 1801 W 40TH AVE STE 4A
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City | PINE BLUFF
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State | AR
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Zip | 71603
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Country | US
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Telephone | 870-536-2171
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Fax | 870-536-2183
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Provider Business Mailing Address
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Address Line | 510 FOREST RIDGE RD
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City | ROYAL
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State | AR
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Zip | 71968-9343
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Country | US
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Telephone | 870-489-1803
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Fax | 870-536-2183
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. GABRIEL GALSTER SR.
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Credential | CP, LPO
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Telephone | 870-536-2171
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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 | OPP0059
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License Number State | AR
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