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General NPI Number Information
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NPI Number | 1053724815
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Entity Type | Organization
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Legal Business Name | ADVANCED SLEEP DISORDERS CENTER LLC
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 200 BANNING ST SUITE 210
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City | DOVER
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State | DE
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Zip | 19904-3487
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Country | US
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Telephone | 302-744-9645
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Fax | 302-744-9649
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Provider Business Mailing Address
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Address Line | 200 BANNING ST SUITE 210
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City | DOVER
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State | DE
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Zip | 19904-3487
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Country | US
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Telephone | 302-744-9645
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Fax | 302-744-9649
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Authorized Official
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Title or Position | MEDICAL DOCTORE
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Name | DR. VINEET PURI
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Credential | MD
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Telephone | 302-744-9645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | DE
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