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General NPI Number Information
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NPI Number | 1942787742
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Entity Type | Organization
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Legal Business Name | HARMONY SLEEP MEDICINE FOR DENTISTRY LLC
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 1900 NE 162ND AVE STE D101
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City | VANCOUVER
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State | WA
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Zip | 98684-3015
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Country | US
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Telephone | 360-882-7866
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Fax | 360-885-7756
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Provider Business Mailing Address
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Address Line | 1900 NE 162ND AVE STE D101
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City | VANCOUVER
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State | WA
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Zip | 98684-3015
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Country | US
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Telephone | 360-882-7866
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Fax | 360-885-7756
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CHUNGAH JANG
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Credential | DDS
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Telephone | 248-910-4830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | DE60014798
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License Number State | WA
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