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General NPI Number Information
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NPI Number | 1114044401
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Entity Type | Organization
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Legal Business Name | UNIVERSAL SLEEP AND ATTENTION CENTER LLC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 4775 MANHATTAN DR
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City | ROCKFORD
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State | IL
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Zip | 61108-2264
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Country | US
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Telephone | 815-397-4600
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Fax | 815-397-4614
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Provider Business Mailing Address
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Address Line | 4775 MANHATTAN DR
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City | ROCKFORD
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State | IL
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Zip | 61108-2264
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Country | US
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Telephone | 815-397-4600
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Fax | 815-397-4614
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Authorized Official
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Title or Position | BUSINESS DIRECTOR
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Name | MANNY ABALOS
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Credential |
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Telephone | 815-397-4600
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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 |
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License Number State |
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