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General NPI Number Information
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NPI Number | 1871819474
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Entity Type | Organization
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Legal Business Name | AIRWAYS MEDICAL LLC
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1112 S ROGERS ST
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City | CLARKSVILLE
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State | AR
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Zip | 72830-9157
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Country | US
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Telephone | 479-705-9401
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Fax | 479-705-8801
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Provider Business Mailing Address
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Address Line | 9303 TREASURE HILL RD
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City | LITTLE ROCK
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State | AR
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Zip | 72227-6217
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Country | US
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Telephone | 501-954-9922
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Fax | 501-954-8308
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | SHEILA ROBERSON
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Credential |
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Telephone | 480-528-2609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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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 | 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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