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General NPI Number Information
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NPI Number | 1245402569
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Entity Type | Organization
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Legal Business Name | QUALITY SLEEP SPECIALISTS, LLC
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 02/02/2017
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Provider Practice Location Address
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Address Line | 609 S KELLY AVE STE B1
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City | EDMOND
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State | OK
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Zip | 73003-5725
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Country | US
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Telephone | 405-513-7054
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Fax |
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Provider Business Mailing Address
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Address Line | 609 S KELLY AVE STE B1
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City | EDMOND
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State | OK
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Zip | 73003-5725
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM BROOKE WEBB JR.
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Credential |
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Telephone | 405-532-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 37D2080372
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License Number State | OK
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