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General NPI Number Information
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NPI Number | 1134143811
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Entity Type | Organization
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Legal Business Name | OZARK SYSTEMS MANUFACTURING, LLC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 501 NORTH LINCOLN ST
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761-1710
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Country | US
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Telephone | 479-524-9778
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Fax | 479-524-6913
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Provider Business Mailing Address
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Address Line | 501 NORTH LINCLON ST
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761-1710
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Country | US
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Telephone | 479-524-9778
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Fax | 479-524-6913
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. TOM MARTIN
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Credential |
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Telephone | 479-524-9778
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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 | 2906504001
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License Number State | AR
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