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General NPI Number Information
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NPI Number | 1497392245
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Entity Type | Organization
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Legal Business Name | THE SLEEP DENTISTS PLLC
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 921 HULL ST STE S
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City | RICHMOND
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State | VA
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Zip | 23224-4069
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Country | US
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Telephone | 804-956-9129
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Fax |
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Provider Business Mailing Address
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Address Line | 921 HULL ST STE S
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City | RICHMOND
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State | VA
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Zip | 23224-4069
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Country | US
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Telephone | 804-956-9129
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. ALAN DAVID WALKER
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Credential | DDS
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Telephone | 804-956-9129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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