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General NPI Number Information
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NPI Number | 1114292380
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Entity Type | Organization
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Legal Business Name | PRACTICAL SLEEP SOLUTIONS
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 1646 WESTGATE CIR STE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-8559
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Country | US
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Telephone | 615-373-1056
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Fax | 615-373-4864
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Provider Business Mailing Address
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Address Line | 1646 WESTGATE CIR STE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-8559
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Country | US
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Telephone | 615-373-1056
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Fax | 615-373-4864
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. STEPHEN D POSS
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Credential | DDS
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Telephone | 615-373-1056
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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 | DS004132
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License Number State | TN
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