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General NPI Number Information
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NPI Number | 1699553842
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Entity Type | Organization
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Legal Business Name | 3D STEP MEDICAL
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 1901 E LINDEN AVE UNIT 22
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City | LINDEN
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State | NJ
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Zip | 07036
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Country | US
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Telephone | 908-862-3121
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Fax | 908-862-0028
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Provider Business Mailing Address
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Address Line | 908 SHERIDAN AVE
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City | ROSELLE
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State | NJ
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Zip | 07203
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Country | US
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Telephone | 908-884-8888
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Fax |
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Authorized Official
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Title or Position | PEDORTHIST
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Name | TONNY ALEJANDRO HUISACAYNA ALVIS
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Credential | CPED
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Telephone | 908-884-8888
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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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