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General NPI Number Information
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NPI Number | 1154900157
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Entity Type | Organization
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Legal Business Name | HYPNOS LLC
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 16522 KEYSTONE BLVD STE T
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City | PARKER
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State | CO
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Zip | 80134-3302
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Country | US
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Telephone | 303-243-5122
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Fax |
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Provider Business Mailing Address
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Address Line | 20293 E BELLEVIEW PL
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City | CENTENNIAL
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State | CO
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Zip | 80015-5226
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Country | US
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Telephone | 614-519-1190
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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. JYOTHI KUDASOMANNAVAR
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Credential | DMD
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Telephone | 303-243-5122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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