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General NPI Number Information
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NPI Number | 1235531708
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Entity Type | Organization
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Legal Business Name | PREMIER SLEEP SOLUTIONS
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 400 CORPORATE POINTE SUITE 300
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City | CULVER CITY
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State | CA
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Zip | 90230-7615
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Country | US
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Telephone | 310-242-8921
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CORPORATE POINTE SUITE 300
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City | CULVER CITY
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State | CA
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Zip | 90230
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Country | US
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Telephone | 310-242-8921
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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. SHAD LONDON MORRIS
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Credential | DMD
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Telephone | 435-531-6595
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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 | 63667
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License Number State | CA
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