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NPI 1336547769

NPI 1336547769 : SLEEP APNEA DENTAL SOLUTION LLC : WEST PALM BEACH, FL

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General NPI Number Information
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    NPI Number           |    1336547769
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    Entity Type          |    Organization 
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    Legal Business Name  |    SLEEP APNEA DENTAL SOLUTION LLC 
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Dates
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    Enumeration Date     |    12/17/2014
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    Last Update Date     |    12/17/2014
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Provider Practice Location Address
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    Address Line         |    201 ARKONA CT SUITE B
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33401-7116
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    Country              |    US
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    Telephone            |    561-655-9313
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    Fax                  |    561-655-6919
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Provider Business Mailing Address
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    Address Line         |    201 ARKONA CT SUITE B
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33401-7116
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    Country              |    US
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    Telephone            |    561-655-9313
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    Fax                  |    561-655-6919
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Authorized Official
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    Title or Position    |    OWNER/DENTIST
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    Name                 |    DR. DAVID R MEEKER 
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    Credential           |    DMD
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    Telephone            |    561-655-9313
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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       |    11488
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    License Number State |    FL
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