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General NPI Number Information
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NPI Number | 1669399291
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Entity Type | Organization
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Legal Business Name | HUMPHREYS DENTAL SLEEP MEDICINE PLLC
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 12276 SAN JOSE BLVD STE 720
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City | JACKSONVILLE
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State | FL
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Zip | 32223-8674
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Country | US
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Telephone | 904-600-3941
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Fax |
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Provider Business Mailing Address
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Address Line | 525 13TH AVE N
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-4749
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Country | US
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Telephone | 850-814-2587
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN HUMPHREYS
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Credential | DDS
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Telephone | 850-814-2587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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