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General NPI Number Information
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NPI Number | 1881953198
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Entity Type | Organization
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Legal Business Name | NEW HOPE PROSTHETICS & ORTHODICS INC
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Dates
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Enumeration Date | 05/07/2012
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 585 TENNESSEE GAS RD
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City | GREENVILLE
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State | MS
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Zip | 38701
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Country | US
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Telephone | 662-334-1944
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Fax | 662-334-3317
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Provider Business Mailing Address
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Address Line | 859 HWY 1 SOUTH
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City | GREENVILLE
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State | MS
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Zip | 38701
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Country | US
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Telephone | 662-334-1944
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Fax | 334-662-3317
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | GABRIEL GALSTER
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Credential | CP, LPO
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Telephone | 870-489-1803
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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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