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General NPI Number Information
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NPI Number | 1053498675
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Entity Type | Organization
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Legal Business Name | SLEEP DISORDER CENTER INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 145 MADEIRA AVE SUITE 209
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City | CORAL GABLES
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State | FL
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Zip | 33134-4520
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Country | US
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Telephone | 305-443-9223
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Fax | 305-443-9225
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Provider Business Mailing Address
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Address Line | 145 MADEIRA AVE SUITE 209
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City | CORAL GABLES
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State | FL
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Zip | 33134-4520
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Country | US
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Telephone | 305-443-9223
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Fax | 305-443-9225
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. ELENA P. REYES
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Credential |
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Telephone | 305-443-9223
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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 | HCC7320
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License Number State | FL
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