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General NPI Number Information
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NPI Number | 1700324522
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Entity Type | Organization
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Legal Business Name | SAFESTEP, LLC
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 03/27/2018
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Provider Practice Location Address
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Address Line | 2905 VETERANS MEMORIAL HWY STE 2
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City | RONKONKOMA
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State | NY
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Zip | 11779-7655
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Country | US
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Telephone | 866-712-7837
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Fax | 631-392-7133
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Provider Business Mailing Address
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Address Line | 2905 VETERANS MEMORIAL HWY STE 2
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City | RONKONKOMA
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State | NY
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Zip | 11779-7655
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Country | US
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Telephone | 866-712-7837
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Fax | 631-392-7133
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Authorized Official
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Title or Position | VP
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Name | DR. JOSH WHITE
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Credential | DPM, CPED
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Telephone | 973-945-6827
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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 | CPED4258
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License Number State | NY
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