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General NPI Number Information
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NPI Number | 1730232778
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Entity Type | Organization
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Legal Business Name | AMPUCARE, LLC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 300 HIGHLAND BLVD SUITE A
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City | NATCHEZ
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State | MS
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Zip | 39120-4600
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Country | US
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Telephone | 601-442-5503
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Fax | 601-442-5504
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Provider Business Mailing Address
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Address Line | 300 HIGHLAND BLVD SUITE A
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City | NATCHEZ
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State | MS
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Zip | 39120-4600
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Country | US
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Telephone | 601-442-5503
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Fax | 601-442-5504
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Authorized Official
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Title or Position | CERTIFIED PROSTHETIST
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Name | MARK ANTHONY HESTER
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Credential | C.P.
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Telephone | 601-259-7233
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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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