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General NPI Number Information
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NPI Number | 1144131707
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Entity Type | Organization
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Legal Business Name | NEXORA DIAGNOSTICS LLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 3516 S 96TH ST
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City | FORT SMITH
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State | AR
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Zip | 72903-5708
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Country | US
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Telephone | 479-867-1117
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Fax |
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Provider Business Mailing Address
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Address Line | 3516 S 96TH ST
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City | FORT SMITH
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State | AR
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Zip | 72903-5708
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | HUMZA BUTT
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Credential |
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Telephone | 479-867-1117
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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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