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General NPI Number Information
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NPI Number | 1235043670
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Entity Type | Organization
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Legal Business Name | OZARK TAILORED INDEPENDENCE SOLUTIONS, LLC
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 20212 SONORA RD APT Q
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City | SPRINGDALE
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State | AR
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Zip | 72764-6898
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Country | US
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Telephone | 479-545-1252
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Fax |
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Provider Business Mailing Address
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Address Line | 20212 SONORA RD APT Q
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City | SPRINGDALE
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State | AR
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Zip | 72764-6898
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Country | US
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Telephone | 479-545-1252
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHAD QUAYLE
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Credential |
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Telephone | 479-545-1252
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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 | NULL
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