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General NPI Number Information
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NPI Number | 1073566899
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Entity Type | Organization
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Legal Business Name | SLEEP ASSOCIATES OF FLORIDA LLC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 35780 SR 54 SUITE 102
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-2242
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Country | US
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Telephone | 813-377-2250
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Fax | 813-283-6853
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Provider Business Mailing Address
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Address Line | 35780 SR 54 SUITE 102
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-2242
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Country | US
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Telephone | 813-377-2250
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Fax | 813-283-6853
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Authorized Official
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Title or Position | TECHNICAL DIRECTOR
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Name | ABY JAMES KURIAKOSE
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Credential | RRT RPSGT CPFT
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Telephone | 813-377-2250
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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 | HCC4205
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | HCC4204
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | HCC8377
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | HCC4207
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License Number State | FL
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