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NPI 1538823562

NPI 1538823562 : FORSYTH SLEEP AND SNORE SOLUTIONS : CUMMING, GA

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General NPI Number Information
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    NPI Number           |    1538823562
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    Entity Type          |    Organization 
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    Legal Business Name  |    FORSYTH SLEEP AND SNORE SOLUTIONS 
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Dates
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    Enumeration Date     |    10/26/2021
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    Last Update Date     |    01/16/2026
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Provider Practice Location Address
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    Address Line         |    655 ATLANTA HWY STE 701 
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    City                 |    CUMMING
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    State                |    GA
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    Zip                  |    30040-2771
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    Country              |    US
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    Telephone            |    470-281-9905
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    655 ATLANTA HWY STE 701 
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    City                 |    CUMMING
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    State                |    GA
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    Zip                  |    30040-2771
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    Country              |    US
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    Telephone            |    770-889-8420
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JENNIFER  BRAGG 
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    Credential           |    DMD
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    Telephone            |    678-296-6067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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