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General NPI Number Information
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NPI Number | 1962053744
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Entity Type | Organization
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Legal Business Name | GR SOUND SLEEP LLC
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 4475 WILSON AVE SW SUITE #8
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City | GRAND RAPIDS
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State | MI
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Zip | 49518-7889
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Country | US
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Telephone | 616-498-1992
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Fax |
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Provider Business Mailing Address
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Address Line | 4475 WILSON AVE SW SUITE #8
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City | GRAND RAPIDS
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State | MI
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Zip | 49518
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Country | US
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Telephone | 616-498-1992
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Fax | 616-656-2424
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Authorized Official
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Title or Position | OWNER
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Name | JEREMY D HESS
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Credential | DDS
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Telephone | 616-871-9604
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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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Taxonomy #2
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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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