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General NPI Number Information
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NPI Number | 1396044210
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Entity Type | Organization
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Legal Business Name | ASMO OVERHEAD, LLP
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 2074 ANTILLEY RD
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City | ABILENE
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State | TX
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Zip | 79606-5209
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Country | US
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Telephone | 325-698-3865
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Fax |
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Provider Business Mailing Address
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Address Line | 2074 ANTILLEY RD
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City | ABILENE
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State | TX
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Zip | 79606-5209
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Country | US
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Telephone | 325-698-3865
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Fax |
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Authorized Official
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Title or Position | CO/OWNER PHYSICIAN
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Name | DR. DALE A FUNK
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Credential | M.D.
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Telephone | 325-698-3865
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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