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General NPI Number Information
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NPI Number | 1952367211
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Entity Type | Organization
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Legal Business Name | CUMBERLAND PROSTHETICS, INC
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 02/01/2019
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Provider Practice Location Address
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Address Line | 329 21ST AVE N STE 2
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City | NASHVILLE
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State | TN
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Zip | 37203-1855
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Country | US
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Telephone | 615-321-5611
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Fax | 615-327-3871
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Provider Business Mailing Address
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Address Line | 329 21ST AVE N STE 2
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City | NASHVILLE
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State | TN
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Zip | 37203-1855
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Country | US
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Telephone | 615-321-5611
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Fax | 615-327-3871
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHERRY A RICHARDSON
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Credential | BCO, BADO
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Telephone | 615-321-5611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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Taxonomy #3
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Taxonomy Code | 156FX1700X
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Taxonomy Name | Ocularist
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License Number |
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License Number State |
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