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General NPI Number Information
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NPI Number | 1750067765
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Entity Type | Organization
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Legal Business Name | NATIONAL CRANIAL PROSTHETICS LLC
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 14001 E ILIFF AVE STE 400
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City | AURORA
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State | CO
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Zip | 80014-1427
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Country | US
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Telephone | 720-912-1921
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Fax | 720-912-2164
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Provider Business Mailing Address
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Address Line | 14001 E ILIFF AVE STE 400
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City | AURORA
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State | CO
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Zip | 80014-1427
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Country | US
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Telephone | 720-912-1921
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Fax | 720-912-2164
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Authorized Official
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Title or Position | CRANIAL PROSTHESIS SPECIALIST
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Name | MS. QAEDAH M LEWIS
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Credential |
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Telephone | 720-912-1921
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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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