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General NPI Number Information
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NPI Number | 1316463250
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Entity Type | Organization
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Legal Business Name | SLEEP HEALTH FLORIDA, PLLC
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4048 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9416
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Country | US
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Telephone | 954-429-9480
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Fax | 954-429-9480
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Provider Business Mailing Address
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Address Line | 4048 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9416
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Country | US
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Telephone | 954-429-9480
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Fax | 954-429-9480
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | CHARLES NOTTINGHAM
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Credential | DDS
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Telephone | 954-695-4333
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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 |
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License Number State |
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Taxonomy #2
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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 #3
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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