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General NPI Number Information
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NPI Number | 1629688999
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Entity Type | Organization
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Legal Business Name | AMERISTEP PROSTHETICS DALLAS
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Dates
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Enumeration Date | 08/03/2020
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Last Update Date | 08/03/2020
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Provider Practice Location Address
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Address Line | 200 COLE ST
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City | DALLAS
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State | TX
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Zip | 75207-4018
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Country | US
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Telephone | 817-251-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 EL DORADO PKWY 150-142
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City | FRISCO
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State | TX
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Zip | 75033
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Country | US
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Telephone | 682-304-7500
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE ASSISTANT
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Name | LINDSEY NICOLE HOLDERBY
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Credential |
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Telephone | 682-304-7500
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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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