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General NPI Number Information
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NPI Number | 1902495237
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Entity Type | Organization
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Legal Business Name | SLEEP DYNAMICS
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 1002 NEVILLE ST
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City | BECKLEY
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State | WV
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Zip | 25801-4324
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Country | US
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Telephone | 304-763-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 132 OLIVER PL
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City | DANIELS
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State | WV
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Zip | 25832-1105
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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 | DR. VICTOR S YORK
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Credential | DDS
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Telephone | 304-633-2486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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