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General NPI Number Information
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NPI Number | 1083965305
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Entity Type | Organization
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Legal Business Name | AMERICAN SLEEP ASSOCIATES, INC
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 11/04/2013
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Provider Practice Location Address
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Address Line | 601 RENAISSANCE WAY STE. B
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City | RIDGELAND
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State | MS
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Zip | 39157-6038
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Country | US
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Telephone | 601-605-9914
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Fax | 601-605-9904
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Provider Business Mailing Address
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Address Line | PO BOX 2706
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City | MADISON
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State | MS
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Zip | 39130-2706
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Country | US
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Telephone | 601-720-7605
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Fax | 866-495-3240
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | PARVEEN KUMAR
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Credential | M.D.
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Telephone | 601-720-7605
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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 |
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