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General NPI Number Information
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NPI Number | 1699588525
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Entity Type | Organization
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Legal Business Name | LAKEVIEW SLEEP SOLUTIONS LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 130 CEDAR KNOLL DR
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City | RONCEVERTE
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State | WV
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Zip | 24970-8382
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Country | US
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Telephone | 304-645-2333
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Fax | 304-647-5932
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Provider Business Mailing Address
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Address Line | 130 CEDAR KNOLL DR
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City | RONCEVERTE
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State | WV
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Zip | 24970-8382
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Country | US
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Telephone | 304-645-2333
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DINA VAUGHAN
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Credential |
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Telephone | 304-645-2333
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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 | 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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