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General NPI Number Information
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NPI Number | 1003360975
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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 | 08/09/2016
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 941 N MAIN ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-4437
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Country | US
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Telephone | 918-203-0003
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Fax | 918-622-8999
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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, CRTS
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Telephone | 918-622-8901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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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