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General NPI Number Information
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NPI Number | 1932638004
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Entity Type | Organization
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Legal Business Name | DENTON SLEEP SOLUTIONS, LLC
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4400 TEASLEY LN STE 300
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City | DENTON
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State | TX
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Zip | 76210-4652
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Country | US
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Telephone | 940-220-5858
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 TEASLEY LN STE 300
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City | DENTON
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State | TX
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Zip | 76210-4652
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Country | US
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Telephone | 940-220-5858
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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. SAMANTHA ANN LEATHERWOOD
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Credential | DMD
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Telephone | 940-220-5858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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