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General NPI Number Information
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NPI Number | 1891457693
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Entity Type | Organization
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Legal Business Name | SLEEP SOLUTIONS OF ALABAMA LLC
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Dates
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Enumeration Date | 10/08/2021
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Last Update Date | 10/08/2021
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Provider Practice Location Address
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Address Line | 1306 14TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-4346
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Country | US
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Telephone | 205-563-4162
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 14TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-4346
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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 | OWNER
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Name | JOSH DRAKE
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Credential | DMD
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Telephone | 205-563-4162
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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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