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General NPI Number Information
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NPI Number | 1215673454
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Entity Type | Organization
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Legal Business Name | PROPER SLEEP EAST METRO PLLC
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Dates
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Enumeration Date | 05/10/2022
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Last Update Date | 05/10/2022
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Provider Practice Location Address
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Address Line | 6936 PINE ARBOR DR S STE 210
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-4672
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Country | US
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Telephone | 651-769-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 6936 PINE ARBOR DR S STE 210
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City | COTTAGE GROVE
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State | MN
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Zip | 55016-4672
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Country | US
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Telephone | 651-769-1000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHERYL LINDGREN
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Credential | DDS
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Telephone | 651-707-5020
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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 |
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License Number State |
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Taxonomy #2
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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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