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General NPI Number Information
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NPI Number | 1447883871
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Entity Type | Organization
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Legal Business Name | INNOVATIVE OUTCOME, INC.
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Dates
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Enumeration Date | 02/13/2020
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 7003 VALLEY RANCH DR
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City | LITTLE ROCK
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State | AR
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Zip | 72223-4696
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Country | US
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Telephone | 501-404-7118
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Fax |
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Provider Business Mailing Address
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Address Line | 7003 VALLEY RANCH DR
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City | LITTLE ROCK
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State | AR
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Zip | 72223-4696
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Country | US
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Telephone | 501-404-7118
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DOUGLAS K LAMB
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Credential |
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Telephone | 501-404-7118
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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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