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General NPI Number Information
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NPI Number | 1265452049
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Entity Type | Organization
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Legal Business Name | O2 SLEEP, INC.
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 5042 THOROUGHBRED LN SUITE A
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City | BRENTWOOD
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State | TN
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Zip | 37027-4232
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Country | US
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Telephone | 615-377-9892
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Fax | 615-377-3212
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Provider Business Mailing Address
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Address Line | PO BOX 482
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City | CORDOVA
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State | TN
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Zip | 38088-0482
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Country | US
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Telephone | 901-526-0202
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Fax | 901-526-0300
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM R. GUTKNECHT
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Credential |
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Telephone | 901-553-1909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 888
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 888
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License Number State | TN
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