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General NPI Number Information
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NPI Number | 1083239438
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Entity Type | Organization
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Legal Business Name | SLEEP HEALTHY OKLAHOMA LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 10/12/2020
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Provider Practice Location Address
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Address Line | 1402 N VAN BUREN ST
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City | ENID
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State | OK
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Zip | 73703-3311
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Country | US
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Telephone | 580-701-2885
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Fax | 580-297-8293
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Provider Business Mailing Address
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Address Line | 1402 N VAN BUREN ST
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City | ENID
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State | OK
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Zip | 73703-3311
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Country | US
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Telephone | 580-701-2885
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Fax | 580-297-8293
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Authorized Official
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Title or Position | OWNER
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Name | ERIN ROBERTS
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Credential | DDS
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Telephone | 580-541-6548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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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 | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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