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General NPI Number Information
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NPI Number | 1679290647
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Entity Type | Organization
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Legal Business Name | SLEEP TIGHT TALLAHASSEE LLC
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 3646 SHAMROCK W
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City | TALLAHASSEE
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State | FL
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Zip | 32309-2642
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Country | US
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Telephone | 850-987-5337
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Fax | 850-848-9798
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Provider Business Mailing Address
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Address Line | 3605 LONGFORD DR
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City | TALLAHASSEE
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State | FL
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Zip | 32309-3250
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Country | US
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Telephone | 850-322-5320
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. TRACY MICHELLE ECKLES
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Credential |
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Telephone | 850-322-5320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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