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General NPI Number Information
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NPI Number | 1538164686
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Entity Type | Organization
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Legal Business Name | NEXT STEP BIONICS AND PROSTHETICS, INC
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 300 METRO CENTER BLVD STE 215
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City | WARWICK
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State | RI
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Zip | 02886-1710
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Country | US
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Telephone | 401-736-8985
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Fax | 401-736-8991
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 120
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City | NASHVILLE
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State | TN
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Zip | 37205-5249
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Country | US
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Telephone | 615-864-8790
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Fax | 615-454-5352
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Authorized Official
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Title or Position | COO
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Name | BRADFORD GARDNER
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Credential |
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Telephone | 615-864-8783
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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 | CP00006
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License Number State | RI
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