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General NPI Number Information
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NPI Number | 1033387022
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Entity Type | Organization
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Legal Business Name | DIAMOND SLEEP CENTER, INC
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 333 WEST MAIN STREET SUITE 201
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City | SAXONBURG
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State | PA
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Zip | 16056-0821
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Country | US
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Telephone | 724-524-1270
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Fax | 724-524-1270
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Provider Business Mailing Address
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Address Line | PO BOX 821
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City | SAXONBURG
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State | PA
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Zip | 16056-0821
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Country | US
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Telephone | 724-524-1270
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Fax | 724-524-1270
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. BARBARA K BOVARD
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Credential | CRT, RPSGT
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Telephone | 724-524-1270
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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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