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General NPI Number Information
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NPI Number | 1215589734
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Entity Type | Organization
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Legal Business Name | SOUND SLEEP MEDICAL LLC
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Dates
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Enumeration Date | 07/15/2019
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 210 W GEORGIA AVE STE 100
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City | NAMPA
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State | ID
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Zip | 83686-5688
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Country | US
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Telephone | 208-969-9014
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Fax |
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Provider Business Mailing Address
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Address Line | 8941 S 700 E STE 204
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City | SANDY
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State | UT
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Zip | 84070-2402
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Country | US
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Telephone | 801-685-3225
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | KIAYA CHRISTINE KILPACK
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Credential |
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Telephone | 385-290-0992
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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 |
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License Number State |
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