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Contract Details
Facility name
A Step Ahead Orthotics and Prosthetics
Provider ID
P000000001
Tax ID
811991759
Effective Date
3/17/2020
Last Updated
3/17/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
237 Dover Road
Clarksville, TN 37042
United States
Phone
615-383-0048
(
Phone
)
Fax
615-383-1588
Billing Details
Address
237 Dover Road
Clarksville, TN 37042
Billing Phone
615-383-1588
Specialty Type
Orthotics/Prosthetics, Services
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Address