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General NPI Number Information
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NPI Number | 1003084344
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Entity Type | Organization
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Legal Business Name | SLEEP SOLUTIONS TULSA, LLC
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 7702 E. 91ST ST. SUITE 200
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City | TULSA
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State | OK
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Zip | 73104-6054
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Country | US
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Telephone | 918-398-6378
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Fax | 918-949-6514
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Provider Business Mailing Address
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Address Line | 409 E. CALIFORNIA AVE.
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4224
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Country | US
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Telephone | 405-949-0060
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Fax | 405-949-0412
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. BRYAN L DALTON
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Credential | D.O.
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Telephone | 918-455-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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