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General NPI Number Information
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NPI Number | 1386372506
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Entity Type | Organization
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Legal Business Name | SLEEP WELL EAST TENNESSEE PPLC
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 06/17/2023
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Provider Practice Location Address
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Address Line | 201 BUS TERMINAL RD STE 100
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City | OAK RIDGE
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State | TN
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Zip | 37830-6903
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Country | US
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Telephone | 865-617-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 10629 HARDIN VALLEY RD # 134
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City | KNOXVILLE
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State | TN
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Zip | 37932-1504
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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 | DR. CHRISTOPHER DAVID LEE
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Credential |
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Telephone | 865-617-6001
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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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