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General NPI Number Information
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NPI Number | 1427237866
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Entity Type | Organization
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Legal Business Name | SAOMS INC.
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 318 THOMPSON AVE
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City | EL DORADO
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State | AR
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Zip | 71730-4569
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Country | US
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Telephone | 870-863-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 318 THOMPSON AVE
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City | EL DORADO
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State | AR
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Zip | 71730-4569
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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 | FINANCIAL COORDINATOR
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Name | SARA CROSSLAND
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Credential |
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Telephone | 870-863-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2321
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License Number State | AR
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