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General NPI Number Information
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NPI Number | 1336810936
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Entity Type | Organization
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Legal Business Name | BETTER SLEEP BY DESIGN LLC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 2757 LAUREL ST STE 4
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City | COLUMBIA
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State | SC
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Zip | 29204-2037
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Country | US
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Telephone | 803-630-1189
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Fax | 803-630-1529
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Provider Business Mailing Address
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Address Line | PO BOX 25731
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City | COLUMBIA
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State | SC
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Zip | 29224-5731
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Country | US
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Telephone | 803-606-9011
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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. KAREN EVANGELINE JOHNSON
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Credential | DDS
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Telephone | 803-606-9011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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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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