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General NPI Number Information
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NPI Number | 1265825426
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Entity Type | Organization
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Legal Business Name | NAVARRO SLEEP AND SNORING SOLUTIONS LLC
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/12/2015
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Provider Practice Location Address
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Address Line | 1661 W 2ND AVE
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City | CORSICANA
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State | TX
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Zip | 75110-4107
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Country | US
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Telephone | 214-293-1097
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Fax | 903-872-5961
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Provider Business Mailing Address
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Address Line | 1505 BOWIE CIR
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City | CORSICANA
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State | TX
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Zip | 75110-1057
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Country | US
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Telephone | 214-293-1097
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Fax | 903-872-5961
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MICHAEL EDWARD EEDS
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Credential | DDS
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Telephone | 214-293-1097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10586
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License Number State | TX
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