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General NPI Number Information
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NPI Number | 1821533894
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Entity Type | Organization
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Legal Business Name | ASPIRE PROSTHETICS AND REHABILITATION ASSOCIATES
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Dates
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Enumeration Date | 12/30/2016
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Last Update Date | 12/30/2016
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Provider Practice Location Address
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Address Line | 750 PARK AVE NW
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City | NORTON
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State | VA
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Zip | 24273-1923
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Country | US
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Telephone | 276-679-1188
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Fax | 276-679-1189
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Provider Business Mailing Address
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Address Line | 750 PARK AVE NW PO BOX 375
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City | NORTON
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State | VA
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Zip | 24273-1923
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Country | US
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Telephone | 276-679-1188
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Fax | 276-679-1189
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Authorized Official
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Title or Position | DIRECTOR OF PROSTHETICS
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Name | CRAIG S LOMBARD
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Credential | CP/L
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Telephone | 276-679-1188
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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 | PRO192
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License Number State | TN
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