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General NPI Number Information
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NPI Number | 1093224032
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Entity Type | Organization
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Legal Business Name | ALL SMILES SLEEP SOLUTIONS LLC
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 4830 W KENNEDY BLVD STE 600
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City | TAMPA
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State | FL
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Zip | 33609-2584
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Country | US
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Telephone | 941-757-4642
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Fax | 855-296-7042
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Provider Business Mailing Address
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Address Line | 17200 CAMELOT COURT
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City | LAND O LAKES
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State | FL
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Zip | 34638
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Country | US
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Telephone | 813-345-8580
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Fax | 813-920-6712
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Authorized Official
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Title or Position | DENTIST
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Name | JOSEPH N GRIMAUDO
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Credential | DMD
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Telephone | 813-504-3625
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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 | DN12435
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | DN12435
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License Number State | FL
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