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NPI 1700504529

NPI 1700504529 : INTEGRITY SLEEP SOLUTION PLLC : HOODSPORT, WA

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General NPI Number Information
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    NPI Number           |    1700504529
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTEGRITY SLEEP SOLUTION PLLC 
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Dates
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    Enumeration Date     |    08/17/2022
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    Last Update Date     |    10/26/2023
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Provider Practice Location Address
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    Address Line         |    68 N LAKE CUSHMAN ROAD 
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    City                 |    HOODSPORT
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    State                |    WA
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    Zip                  |    98548-9854
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    Country              |    US
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    Telephone            |    360-878-5151
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    Fax                  |    206-400-5997
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Provider Business Mailing Address
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    Address Line         |    PO BOX 173 
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    City                 |    HOODSPORT
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    State                |    WA
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    Zip                  |    98548-0173
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    Country              |    US
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    Telephone            |    360-877-5151
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    Fax                  |    206-400-5997
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |    DR. RICHARD C DOWNING 
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    Credential           |    DDS
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    Telephone            |    360-259-1984
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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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