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General NPI Number Information
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NPI Number | 1023755691
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Entity Type | Organization
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Legal Business Name | BEARLY SLEEP AND EEG TESTING CENTER, LLC
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 3702 THREE NOTCH RD
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City | RINGGOLD
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State | GA
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Zip | 30736-3439
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Country | US
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Telephone | 423-504-7977
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Fax |
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Provider Business Mailing Address
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Address Line | 3702 THREE NOTCH RD
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City | RINGGOLD
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State | GA
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Zip | 30736-3439
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Country | US
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Telephone | 423-504-7977
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Fax |
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Authorized Official
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Title or Position | OWNER, RPSGT, CCSH
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Name | MRS. THERESA ANDERSON-SWANSON
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Credential | RPSGT, CCSH
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Telephone | 423-504-7977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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