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NPI 1770164303

NPI 1770164303 : FIRST STEPS PROSTHETICS & ORTHOTICS PLLC : ROWLETT, TX

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General NPI Number Information
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    NPI Number           |    1770164303
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIRST STEPS PROSTHETICS & ORTHOTICS PLLC 
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Dates
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    Enumeration Date     |    04/15/2021
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    Last Update Date     |    08/07/2025
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Provider Practice Location Address
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    Address Line         |    9400 LAKEVIEW PKWY STE 121 
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    City                 |    ROWLETT
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    State                |    TX
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    Zip                  |    75088-4401
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    Country              |    US
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    Telephone            |    214-501-4050
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    Fax                  |    214-501-4640
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Provider Business Mailing Address
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    Address Line         |    PO BOX 315 
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    City                 |    ROWLETT
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    State                |    TX
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    Zip                  |    75030-0315
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGING PARTNER/ CLINICIAN
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    Name                 |    MR. ETHAN ZACHARY MARSHALL 
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    Credential           |    CPO
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    Telephone            |    214-289-9205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    222Z00000X
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    Taxonomy Name        |    Orthotist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    224P00000X
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    Taxonomy Name        |    Prosthetist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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