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General NPI Number Information
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NPI Number | 1205449204
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Entity Type | Organization
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Legal Business Name | SLEEP APNEA SOLUTIONS PC
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 422 1ST ST
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City | MANISTEE
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State | MI
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Zip | 49660-1504
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Country | US
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Telephone | 231-723-1198
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Fax |
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Provider Business Mailing Address
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Address Line | 422 1ST ST
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City | MANISTEE
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State | MI
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Zip | 49660-1504
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Country | US
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Telephone | 231-723-1198
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAYNE GODZINA
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Credential | DDS
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Telephone | 231-723-1198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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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 | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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