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General NPI Number Information
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NPI Number | 1003215096
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Entity Type | Organization
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Legal Business Name | ASM, LLC
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 9871 BROCKINGTON RD STE 6
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City | SHERWOOD
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State | AR
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Zip | 72120-3592
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Country | US
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Telephone | 918-622-8999
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Fax | 918-622-8901
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Provider Business Mailing Address
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Address Line | 5807 S GARNETT RD STE H
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City | TULSA
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State | OK
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Zip | 74146-6824
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Country | US
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Telephone | 918-622-8999
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Fax | 918-622-8901
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MIKE A HARRIS
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Credential | ATP, CTRS
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Telephone | 918-622-8999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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