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General NPI Number Information
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NPI Number | 1497552103
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Entity Type | Organization
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Legal Business Name | SLEEP HEALTH WISCONSIN LLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 9809 39TH AVE STE 1
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City | PLEASANT PRAIRIE
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State | WI
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Zip | 53158-3733
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Country | US
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Telephone | 262-654-5623
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Fax |
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Provider Business Mailing Address
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Address Line | 1052 BEL AIRE CT
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City | GREEN BAY
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State | WI
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Zip | 54304-5014
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Country | US
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Telephone | 920-499-2121
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Fax |
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Authorized Official
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Title or Position | MEDICAL CLINIC COORDINATOR
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Name | TRACY ADAMS
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Credential |
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Telephone | 920-425-4140
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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 | 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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