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General NPI Number Information
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NPI Number | 1356166417
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Entity Type | Organization
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Legal Business Name | MODERN SLEEP AIRWAY & ORTHODONTICS LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 8370 W COAL MINE AVE STE 106
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City | LITTLETON
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State | CO
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Zip | 80123-4400
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Country | US
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Telephone | 720-298-5570
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Fax |
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Provider Business Mailing Address
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Address Line | 8370 W COAL MINE AVE STE 106
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City | LITTLETON
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State | CO
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Zip | 80123-4400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON LINDSAY
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Credential |
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Telephone | 720-298-5570
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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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