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General NPI Number Information
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NPI Number | 1043523947
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Entity Type | Organization
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Legal Business Name | DREAMZ SLEEP DISORDERS CENTER
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 950 TAMIAMI TRL SUITE 103
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City | PORT CHARLOTTE
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State | FL
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Zip | 33953-3100
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Country | US
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Telephone | 941-276-7818
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Fax | 941-426-0105
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Provider Business Mailing Address
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Address Line | 950 TAMIAMI TRL SUITE 103
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City | PORT CHARLOTTE
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State | FL
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Zip | 33953-3100
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Country | US
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Telephone | 941-276-7818
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Fax | 941-426-0105
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Authorized Official
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Title or Position | COORDINATOR
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Name | MS. JANICE MATHEY
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Credential | RPSGT, CRT
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Telephone | 941-276-7818
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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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