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General NPI Number Information
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NPI Number | 1427985225
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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 | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 400 TREEMONTE DR STE A
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City | ORANGE CITY
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State | FL
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Zip | 32763-7978
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Country | US
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Telephone | 386-837-1236
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Fax |
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Provider Business Mailing Address
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Address Line | 400 TREEMONTE DR STE A
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City | ORANGE CITY
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State | FL
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Zip | 32763-7978
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Country | US
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Telephone | 386-837-1236
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAUNDA ELYSE KELLY
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Credential |
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Telephone | 205-514-7390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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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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