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General NPI Number Information
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NPI Number | 1518437227
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Entity Type | Organization
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Legal Business Name | TMJ & SLEEP OF NCF LLC
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 2609 SW 33RD ST STE 104
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City | OCALA
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State | FL
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Zip | 34471-7775
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Country | US
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Telephone | 813-220-1548
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 SW 33RD ST STE 104
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City | OCALA
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State | FL
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Zip | 34471-7775
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Country | US
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Telephone | 813-220-1548
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS HARTER
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Credential | DMD
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Telephone | 352-203-4493
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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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