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General NPI Number Information
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NPI Number | 1336785690
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Entity Type | Organization
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Legal Business Name | RESTORATION SLEEP SOLUTIONS LLC
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 33 MOUSE CREEK RD NW
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City | CLEVELAND
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State | TN
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Zip | 37312-4840
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Country | US
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Telephone | 423-473-3104
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Fax |
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Provider Business Mailing Address
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Address Line | 7808 MAHAN GAP RD
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City | OOLTEWAH
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State | TN
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Zip | 37363-5708
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Country | US
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Telephone | 805-794-5867
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIFFANY K WALKER
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Credential | DDS
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Telephone | 805-794-5867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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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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