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General NPI Number Information
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NPI Number | 1548869324
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Entity Type | Organization
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Legal Business Name | REACH ORTHOTIC & PROSTHETIC SERVICE INC
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 4057 TAYLOR RD STE P
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5527
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Country | US
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Telephone | 757-673-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 11747 JEFFERSON AVE STE 5A
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-1999
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Country | US
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Telephone | 757-595-9800
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN M BOGGS
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Credential |
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Telephone | 757-236-1675
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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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