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General NPI Number Information
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NPI Number | 1063363299
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Entity Type | Organization
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Legal Business Name | SPECIALDSLEEP, LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1225 CARLISLE ST STE 1B
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City | HANOVER
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State | PA
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Zip | 17331-1207
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Country | US
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Telephone | 210-675-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 CARLISLE ST STE 1B
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City | HANOVER
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State | PA
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Zip | 17331-1207
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Country | US
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Telephone | 210-675-7000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID FERGUSON
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Credential | DDS
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Telephone | 210-675-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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