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General NPI Number Information
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NPI Number | 1982246823
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Entity Type | Organization
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Legal Business Name | PARIS DENTAL SLEEP CENTER
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 324 TYSON AVE
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City | PARIS
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State | TN
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Zip | 38242-4832
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Country | US
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Telephone | 731-642-7920
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Fax | 731-642-3969
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Provider Business Mailing Address
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Address Line | 324 TYSON AVE
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City | PARIS
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State | TN
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Zip | 38242-4832
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Country | US
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Telephone | 731-642-7920
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Fax | 731-642-3969
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | JEFFREY T MORRIS
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Credential | DDS
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Telephone | 731-642-7920
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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 | 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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