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General NPI Number Information
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NPI Number | 1851715130
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Entity Type | Organization
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Legal Business Name | GREATER SLEEP SOLUTIONS
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 18801 VETERANS MEMORIAL DR E STE 1
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City | BONNEY LAKE
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State | WA
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Zip | 98391-5204
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Country | US
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Telephone | 425-760-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 18801 VETERANS MEMORIAL DR E STE 1
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City | BONNEY LAKE
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State | WA
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Zip | 98391-5204
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Country | US
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Telephone | 425-760-5433
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | JUSTIN THOMPSON
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Credential |
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Telephone | 425-760-5433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number | 603-372-583
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 603-372-583
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License Number State | WA
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