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General NPI Number Information
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NPI Number | 1104096866
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Entity Type | Organization
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Legal Business Name | LULLABY SLEEP STUDY CENTER
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Dates
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Enumeration Date | 03/08/2008
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Last Update Date | 03/08/2008
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Provider Practice Location Address
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Address Line | 724 KAHN DR
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City | PIKESVILLE
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State | MD
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Zip | 21208-5826
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Country | US
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Telephone | 410-415-0720
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Fax | 410-466-2471
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Provider Business Mailing Address
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Address Line | 724 KAHN DR
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City | PIKESVILLE
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State | MD
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Zip | 21208-5826
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Country | US
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Telephone | 410-415-0720
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Fax | 410-466-2471
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Authorized Official
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Title or Position | PRESIDENT
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Name | MYRA FRANCIAL SHELTON
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Credential | RN
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Telephone | 410-466-2470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number | R098349
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License Number State | MD
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