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General NPI Number Information
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NPI Number | 1053132621
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Entity Type | Organization
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Legal Business Name | PTMD CONSULTANTS PLLC
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 408 OFFICE PARK DR STE 3
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City | BRYANT
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State | AR
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Zip | 72022-7536
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Country | US
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Telephone | 501-553-0000
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Fax | 501-600-4781
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Provider Business Mailing Address
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Address Line | 408 OFFICE PARK DR STE 3
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City | BRYANT
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State | AR
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Zip | 72022-7536
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Country | US
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Telephone | 501-553-0000
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Fax | 501-600-4781
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | SAMEER JAIN
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Credential |
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Telephone | 856-313-7911
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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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