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General NPI Number Information
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NPI Number | 1801420609
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Entity Type | Organization
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Legal Business Name | SLEEP DDS, LLC
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 6500 BUSCH BLVD STE 104
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City | COLUMBUS
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State | OH
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Zip | 43229-6706
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Country | US
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Telephone | 614-316-0262
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Fax |
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Provider Business Mailing Address
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Address Line | 6500 BUSCH BLVD STE 104
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City | COLUMBUS
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State | OH
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Zip | 43229-6706
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. COLLIN EMERICK
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Credential | DDS
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Telephone | 614-316-2062
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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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