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General NPI Number Information
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NPI Number | 1063748671
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Entity Type | Organization
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Legal Business Name | WATERMARK MEDICAL, INC.
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Dates
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Enumeration Date | 11/02/2009
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1117 PERIMETER CENTER WEST SUITE W514
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City | ATLANTA
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State | GA
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Zip | 30338
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Country | US
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Telephone | 877-710-6999
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Fax |
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Provider Business Mailing Address
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Address Line | 600 ATLANTIS RD
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City | MELBOURNE
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State | FL
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Zip | 32904-2315
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Country | US
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Telephone | 321-821-2032
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVE FELDMAN
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Credential |
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Telephone | 321-676-0010
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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 | GA
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