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NPI 1912712563

NPI 1912712563 : SLEEPBROZ PLLC : NEW BRAUNFELS, TX

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General NPI Number Information
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    NPI Number           |    1912712563
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    Entity Type          |    Organization 
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    Legal Business Name  |    SLEEPBROZ PLLC 
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Dates
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    Enumeration Date     |    02/11/2025
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    Last Update Date     |    03/10/2025
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Provider Practice Location Address
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    Address Line         |    2810 OAK RUN PKWY STE 100 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78132-4763
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    Country              |    US
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    Telephone            |    830-415-4007
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    Fax                  |    830-415-4008
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Provider Business Mailing Address
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    Address Line         |    742 MISSION HTS 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-6038
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    Country              |    US
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    Telephone            |    830-822-8633
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. TODD RANDALL SMITH 
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    Credential           |    DDS
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    Telephone            |    830-822-8633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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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        |    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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