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General NPI Number Information
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NPI Number | 1497102511
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Entity Type | Organization
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Legal Business Name | SLEEP NASHVILLE
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 4205 HILLSBORO PIKE SUITE B105
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City | NASHVILLE
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State | TN
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Zip | 37215-3336
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Country | US
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Telephone | 615-385-1190
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Fax |
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Provider Business Mailing Address
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Address Line | 4205 HILLSBORO PIKE SUITE B105
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City | NASHVILLE
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State | TN
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Zip | 37215-3336
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Country | US
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Telephone | 615-385-1190
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | BETH HOLDER
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Credential |
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Telephone | 615-385-1190
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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 | FO3264049
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License Number State | TN
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