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General NPI Number Information
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NPI Number | 1235681057
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Entity Type | Organization
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Legal Business Name | BETTER SLEEP CENTER, LLC
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 2716 SOUTHERN BLVD SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-3741
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Country | US
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Telephone | 505-892-8600
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Fax | 505-892-4215
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Provider Business Mailing Address
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Address Line | 2716 SOUTHERN BLVD SE
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City | RIO RANCHO
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State | NM
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Zip | 87124-3741
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Country | US
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Telephone | 505-892-8600
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Fax | 505-892-4215
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MINDY RILEY
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Credential |
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Telephone | 505-892-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1523
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License Number State | NM
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