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General NPI Number Information
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NPI Number | 1033309216
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Entity Type | Organization
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Legal Business Name | MID ATLANTIC SLEEP CONSULTANTS LLC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 19420 GOLF VISTA PLZ SUITE 110
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City | LANSDOWNE
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State | VA
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Zip | 20176-8265
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Country | US
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Telephone | 703-729-5537
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Fax | 301-260-2838
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Provider Business Mailing Address
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Address Line | PO BOX 157
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City | ASHTON
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State | MD
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Zip | 20861-0157
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Country | US
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Telephone | 301-570-9700
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Fax | 301-260-2838
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Authorized Official
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Title or Position | PARTNER
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Name | DR. YASH P MEHNDIRATTA
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Credential | MD
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Telephone | 301-570-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 0101235675
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License Number State | VA
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