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General NPI Number Information
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NPI Number | 1447971379
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Entity Type | Organization
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Legal Business Name | SOUTHWEST SLEEP SOLUTIONS LLC
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 3618 W ANTHEM WAY STE D132
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City | ANTHEM
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State | AZ
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Zip | 85086-0475
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Country | US
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Telephone | 855-244-7533
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Fax | 855-201-3647
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Provider Business Mailing Address
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Address Line | 2838 LONG BEACH RD FL 2
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City | OCEANSIDE
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State | NY
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Zip | 11572-2258
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Country | US
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Telephone | 516-640-7401
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Fax | 855-201-3647
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Authorized Official
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Title or Position | OFFICER
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Name | DARREN FLOWERS
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Credential | DMD
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Telephone | 516-640-7401
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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 | 1223X2210X
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Taxonomy Name | Orofacial Pain Dentistry
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License Number |
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License Number State |
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Taxonomy #3
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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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