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General NPI Number Information
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NPI Number | 1053615120
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Entity Type | Organization
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Legal Business Name | VALLEY SLEEP SOLUTIONS
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 5060 TUSCARAWAS RD
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City | BEAVER
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State | PA
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Zip | 15009-1006
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Country | US
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Telephone | 724-495-3350
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Fax | 724-495-6626
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Provider Business Mailing Address
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Address Line | 5060 TUSCARAWAS RD
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City | BEAVER
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State | PA
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Zip | 15009-1006
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Country | US
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Telephone | 724-495-3350
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Fax | 724-495-6626
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Authorized Official
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Title or Position | GENERAL DENIST
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Name | DR. HENRY J. WINDLE
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Credential | D.M.D.
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Telephone | 724-495-3350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | DS021853L
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License Number State | PA
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