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General NPI Number Information
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NPI Number | 1093853210
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Entity Type | Organization
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Legal Business Name | MICHIGAN SLEEP SPECIALISTS
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | G3237 BEECHER RD M
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City | FLINT
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State | MI
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Zip | 48532-3695
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Country | US
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Telephone | 810-733-8338
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Fax | 810-733-8023
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Provider Business Mailing Address
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Address Line | G3237 BEECHER RD M
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City | FLINT
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State | MI
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Zip | 48532-3695
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Country | US
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Telephone | 810-733-8338
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Fax | 810-733-8023
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Authorized Official
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Title or Position | OWNER
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Name | MS. SOMMER CAMILLE GREEN
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Credential | MPA
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Telephone | 810-733-8338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | EA069292
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License Number State | MI
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