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NPI 1942005707

NPI 1942005707 : SMILE AND SLEEP SOLUTIONS : TOTOWA, NJ

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General NPI Number Information
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    NPI Number           |    1942005707
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    Entity Type          |    Organization 
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    Legal Business Name  |    SMILE AND SLEEP SOLUTIONS 
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Dates
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    Enumeration Date     |    02/17/2025
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    Last Update Date     |    02/17/2025
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Provider Practice Location Address
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    Address Line         |    142 TOTOWA RD STE 7 
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    City                 |    TOTOWA
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    State                |    NJ
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    Zip                  |    07512-2747
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    Country              |    US
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    Telephone            |    973-870-8248
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    142 TOTOWA RD STE 7 
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    City                 |    TOTOWA
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    State                |    NJ
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    Zip                  |    07512-2747
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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                 |     SUFINA  MAHMOUND 
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    Credential           |    
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    Telephone            |    973-870-8248
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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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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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