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General NPI Number Information
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NPI Number | 1346642998
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Entity Type | Organization
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Legal Business Name | SURGICAL SLEEP SOLUTIONS PLLC
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 09/25/2014
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Provider Practice Location Address
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Address Line | 805 S RESERVE ST
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City | MISSOULA
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State | MT
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Zip | 59801-2104
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Country | US
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Telephone | 281-772-1151
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 ALBANS RD
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City | HOUSTON
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State | TX
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Zip | 77005-2145
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Country | US
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Telephone | 281-772-1151
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Fax | 281-569-4608
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Authorized Official
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Title or Position | CEO
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Name | ADAM MAURER
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Credential |
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Telephone | 281-772-1151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 7822
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License Number State | MT
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