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General NPI Number Information
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NPI Number | 1104156868
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Entity Type | Organization
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Legal Business Name | COMMUNITY SLEEP DISORDERS CENTERS OF AMERICA, INC.
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Dates
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Enumeration Date | 12/31/2009
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Last Update Date | 12/31/2009
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Provider Practice Location Address
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Address Line | 2224 HIGHWAY 44 W
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City | INVERNESS
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State | FL
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Zip | 34453-3860
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Country | US
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Telephone | 352-637-5599
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Fax | 352-637-5567
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Provider Business Mailing Address
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Address Line | PO BOX 161533
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32716-1533
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Country | US
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Telephone | 352-637-5599
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Fax | 352-637-5564
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Authorized Official
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Title or Position | CEO
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Name | KEVIN C. WILLIAMS
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Credential |
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Telephone | 407-497-0994
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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 | 4740
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License Number State | FL
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