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General NPI Number Information
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NPI Number | 1093901837
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Entity Type | Organization
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Legal Business Name | PREMIER SLEEP DIAGNOSTIC CENTERS II, LLC
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 7405 SHALLOWFORD RD STE 240
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2662
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Country | US
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Telephone | 423-648-1074
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Fax | 423-648-1078
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Provider Business Mailing Address
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Address Line | 1603 HAMILL RD
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City | HIXSON
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State | TN
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Zip | 37343-4902
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Country | US
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Telephone | 423-877-9244
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Fax | 423-877-9255
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES T POTEET JR.
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Credential |
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Telephone | 423-877-9244
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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 | TN
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