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General NPI Number Information
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NPI Number | 1023487683
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Entity Type | Organization
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Legal Business Name | DSM SLEEP LLC
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Dates
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Enumeration Date | 09/24/2015
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Last Update Date | 02/21/2016
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Provider Practice Location Address
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Address Line | 2828 104TH ST
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City | URBANDALE
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State | IA
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Zip | 50322-3813
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Country | US
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Telephone | 515-850-1037
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 104TH ST
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City | URBANDALE
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State | IA
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Zip | 50322-3813
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Country | US
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Telephone | 515-850-1037
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MELISA A COAKER
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Credential | M.D.
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Telephone | 515-850-1037
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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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