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General NPI Number Information
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NPI Number | 1134464209
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Entity Type | Organization
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Legal Business Name | SNEEZE & SNOOZE CLINIC, P C.
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Dates
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Enumeration Date | 11/30/2012
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Last Update Date | 11/30/2012
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Provider Practice Location Address
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Address Line | 2417 S. BERKSHIRE DR.
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City | GASHEN
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State | IN
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Zip | 46526-6815
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Country | US
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Telephone | 574-534-9911
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Fax | 574-534-6915
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Provider Business Mailing Address
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Address Line | 2417 S. BERKSHIRE DR.
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City | GASHEN
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State | IN
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Zip | 46526-6815
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Country | US
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Telephone | 574-534-9911
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Fax | 574-534-6915
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Authorized Official
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Title or Position | OWNER
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Name | DR. YATIN J PATEL
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Credential | M.D.
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Telephone | 574-534-9911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 01042551
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License Number State | IN
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