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General NPI Number Information
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NPI Number | 1093474660
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Entity Type | Organization
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Legal Business Name | SMART SLEEP SOLUTIONS PLLC
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 1001 SW HIGGINS AVE STE 103
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City | MISSOULA
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State | MT
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Zip | 59803-1340
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Country | US
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Telephone | 406-549-6222
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Fax | 406-830-3177
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Provider Business Mailing Address
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Address Line | 1001 SW HIGGINS AVE STE 103
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City | MISSOULA
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State | MT
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Zip | 59803-1340
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Country | US
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Telephone | 406-241-7653
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JILL FRAZIER
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Credential | DDS
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Telephone | 406-241-7653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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