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General NPI Number Information
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NPI Number | 1255682944
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Entity Type | Organization
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Legal Business Name | ARMSTRONG MEDICAL LLC
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Dates
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Enumeration Date | 09/21/2012
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Last Update Date | 11/16/2018
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Provider Practice Location Address
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Address Line | 13170 CENTRAL AVE SE SUITE B 345
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City | ALBUQUERQUE
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State | NM
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Zip | 87123
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Country | US
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Telephone | 505-620-6319
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Fax |
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Provider Business Mailing Address
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Address Line | 13170 CENTRAL AVE SE SUITE B 345
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City | ALBUQUERQUE
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State | NM
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Zip | 87123
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Country | US
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Telephone | 505-620-6319
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Fax |
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Authorized Official
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Title or Position | OWNER / DIRECTOR
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Name | PAUL LEE ARMSTRONG
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Credential | PA
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Telephone | 505-620-6319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 98-PA09
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License Number State | NM
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